Vibrant Wellness, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

VIBRANT WELLNESS, LLC

Practice address

1216 Pleasant Valley Blvd Ste 208
Altoona, PA 16602-4750

Phone

(814) 554-0512

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Susan L Lockard, NCC/LPCNPI 1699390906

Title

Owner

Phone

(814) 554-0512

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan L Lockard, NCC/LPC

  • Professional Counselor
  • Altoona, PA
  • NPI 1699390906
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1083331821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 PLEASANT VALLEY BLVD STE 208",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024750",
            "telephone_number": "814-554-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 PLEASANT VALLEY BLVD STE 208",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024750",
            "telephone_number": "814-554-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "LOCKARD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-554-0512",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NCC/LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Vaughn
• Lori Ventura
• Rakesh C Verma, M.D.
• Lori Verostick, PMHNP
• Stephanie Vescovi
• Kristi Lee Villella, CRNP
• Chelsea Vincent, BA
• Michael John Vipond, D.C.
• Visionworks, Inc. (Visionworks)
• Karen M Vislosky

• Professional Counselor in Altoona, PA
• Providers in Altoona, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.