Denette L. Vital, RN, M.A., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

60854 Issued in TX

Practice address

100 N Central Expy
Suite 400-8
Dallas, TX 75201-4312

Phone

(469) 658-5457

Fax

(469) 227-4251

NPI assigned

Aug 28, 2007

Last updated

Aug 28, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Registered Nurse

State licenses

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1093909590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N CENTRAL EXPY",
            "address_2": "SUITE 400-8",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014312",
            "telephone_number": "469-658-5457",
            "fax_number": "469-227-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CENTRAL EXPY",
            "address_2": "SUITE 400-8",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014312",
            "telephone_number": "469-658-5457",
            "fax_number": "469-227-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITAL",
        "first_name": "DENETTE",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "RN, M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "60854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vital Hospital Partners PA
• Vital House Calls, LLC
• Vital Iom LLC
• Vital Pain Consultants
• Vital Wellness & Weight Loss P.a.
• Vitalcaring Group Home Health - Vinita, LLC
• Vitalcheck Labs LLC. (VitalCheck Labs)
• Vitaledge Diagnostics LLC
• Vitalex DME LLC
• Vitali Azouz MD PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.