The Vitality Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE VITALITY CENTER

Practice address

701 Devonshire Dr Ste C19
Champaign, IL 61820-7352

Phone

(309) 431-5381

NPI assigned

Aug 24, 2023

Organization subpart

Yes

Parent organization

SANKOFA HEALING & WELLNESS, PLLCAs reported in NPPES

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

Authorized official

Name

Imani Harrison, LCPCNPI 1861968240

Title

Owner

Phone

(217) 255-0346

Specialties & licenses 1

Addresses

Other names 1

• The Vitality Center Doing business as

Tax ID family

The Vitality Center2 organizations share this tax ID, including this one

Part of

The Vitality Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sankofa Healing & Wellness, PLLC

  • Mental Health Counselor
  • Champaign, IL
  • NPI 1811649783
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Sankofa Healing & Wellness, PLLC

  • Mental Health Counselor
  • Champaign, IL
  • NPI 1811649783
  NPPES parent name

Practitioners 1

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

• Imani Taliah Harrison, MA, LCPC

  • Mental Health Counselor
  • Champaign, IL
  • NPI 1861968240
  NPD Authorized official

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1114701554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 DEVONSHIRE DR STE C19",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207352",
            "telephone_number": "309-431-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DEVONSHIRE DR STE C19",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207352",
            "telephone_number": "309-431-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VITALITY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANKOFA HEALING & WELLNESS, PLLC",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "IMANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-255-0346",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vitality Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kristin E Thies, PSYD
• Lauren Thiessen, PHARMD
• Megan Mariah Thilmony, PA-C
• Thomas E. Standley, DMD, PC
• Jonathan William Thomas-Stagg, LICENSED PSYCHOLOGIS

• Mental Health Counselor in Champaign, IL
• Providers in Champaign, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.