Omni Blue

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

OMNI BLUE

Practice address

1110 Ridge Ave # 1
Latrobe, PA 15650-1926

Phone

(724) 953-1760

NPI assigned

Aug 24, 2023

Last updated

Aug 24, 2023By 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

Mrs. Lauralee Grace Vargo, MA, ATR-BC, LPCNPI 1952960445

Title

Licensed Professional Counselor

Phone

(724) 953-1760

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.

• Lauralee Vargo, MA, ATR-BC, LPC

  • Mental Health Counselor
  • Latrobe, PA
  • NPI 1952960445
  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": "1134903545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 RIDGE AVE # 1",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501926",
            "telephone_number": "724-953-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 RIDGE AVE # 1",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501926",
            "telephone_number": "724-953-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI BLUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "VARGO",
        "authorized_official_first_name": "LAURALEE",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "724-953-1760",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, ATR-BC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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.