Organization Active NPI

Vita Therapy Group

  • Mental Health Counselor
  • Saint Petersburg, FL
National Provider Identifier
1124982244
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
VITA THERAPY GROUP
Practice address
7901 4TH Street North
Ste 300
Saint Petersburg, FL 33702
Phone
(319) 804-9979
Fax
(319) 289-7023
NPI assigned
Dec 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Mrs. Shannon Elise Perea, LMHCNPI 1144791153
Title
Mental Health Therapist
Phone
(319) 804-9979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

7901 4TH Street North
Ste 300
Saint Petersburg, FL 33702

Mailing address

5249 N Park PL NE # 1018
Cedar Rapids, IA 52402-6210
Phone (319) 804-9979

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1124982244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5249 N PARK PL NE # 1018",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026210",
            "telephone_number": "319-804-9979",
            "fax_number": "319-289-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH STREET NORTH",
            "address_2": "STE 300",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33702",
            "telephone_number": "319-804-9979",
            "fax_number": "319-289-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "PEREA",
        "authorized_official_first_name": "SHANNON ELISE",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "319-804-9979",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.