Mindful Vibrance, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL VIBRANCE, LLC

Practice address

10 Westowne St
Liberty, MO 64068-1166

Phone

(816) 466-5231

Fax

(816) 379-6835

NPI assigned

Sep 12, 2023

Organization subpart

No

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

Authorized official

Name

Michele Roberts, MSW, LCSWNPI 1326403783

Title

Owner

Phone

(816) 466-5231

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

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

• Michele Renee Roberts, LCSW

  • Clinical Social Worker
  • Liberty, MO
  • NPI 1326403783
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1174300255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WESTOWNE ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681166",
            "telephone_number": "816-466-5231",
            "fax_number": "816-379-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WESTOWNE ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681166",
            "telephone_number": "816-466-5231",
            "fax_number": "816-379-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL VIBRANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-466-5231",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Miles
• Sabrina A Milford
• Amelia Miller I
• Andrew P Miller, DPT
• Maria Gabriela Miller, PT
• Kaitlyn Nicole Minet
• Missouri CVS Pharmacy, L.L.C.
• Missouri Dental Professionals, Richard Straus, D.M.D., P.C.
• Missouri Metabolic Health
• David Alexander Mitts, DDS

• Clinical Social Worker in Liberty, MO
• Providers in Liberty, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.