Vitality Professional Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

68165 Issued in TX

Legal business name

VITALITY PROFESSIONAL COUNSELING, LLC

Practice address

6675 Mediterranean Dr
#506
McKinney, TX 75070-5573

Phone

(972) 841-9509

NPI assigned

Apr 22, 2015

Last updated

Oct 18, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lauren Gastorf, M.ED., LPC, NCCNPI 1174911176

Title

Licensed Professional Counselor

Phone

(972) 841-9509

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Gastorf, LPC

  • Professional Counselor
  • McKinney, TX
  • NPI 1174911176
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445126400000",
    "number": "1073900437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 MEDITERRANEAN DR",
            "address_2": "SUITE #506",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705573",
            "telephone_number": "972-841-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 MEDITERRANEAN DR",
            "address_2": "#506",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705573",
            "telephone_number": "972-841-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY PROFESSIONAL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-10-18",
        "status": "A",
        "authorized_official_last_name": "GASTORF",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "972-841-9509",
        "authorized_official_credential": "M.ED., LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in McKinney, TX
• Providers in McKinney, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.