Organization Active NPI

Vital Solution LLC

  • Professional Counselor
  • Whitehall, PA
National Provider Identifier
1184410433
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
VITAL SOLUTION LLC
Practice address
250 Mickley Run Apt D
Whitehall, PA 18052-7909
Phone
(484) 828-1928
NPI assigned
Apr 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Cesymer Olivares, MA, LPCNPI 1518781301
Title
Ceo
Phone
(484) 828-1928

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

250 Mickley Run Apt D
Whitehall, PA 18052-7909

Mailing address

250 Mickley Run Apt D
Whitehall, PA 18052-7909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251111000139 PA Part B Supplier - Clinic/Group Practice 1052801719 Receives reassigned benefits from 1 practitioner
Practice locations: Allentown, PA

National Provider Directory

National Provider Directory

Locations

1275 Glenlivet Dr
Ste 100
Allentown, PA 18106
Phone (610) 395-3005

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1184410433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MICKLEY RUN APT D",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180527909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MICKLEY RUN APT D",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180527909",
            "telephone_number": "484-828-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "OLIVARES",
        "authorized_official_first_name": "CESYMER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "484-828-1928",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.