Individual provider Active NPI

Vita T Chung, DNP, RN, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Missouri City, TX
National Provider Identifier
1215476940
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP132878 Issued in TX
Practice address
3634 Glenn Lakes LN, Suite 170
Missouri City, TX 77459-4045
Phone
(281) 606-0622
Fax
(281) 476-6454
NPI assigned
Feb 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP132878 TX Primary

Addresses

Primary practice location

3634 Glenn Lakes LN, Suite 170
Missouri City, TX 77459-4045

Mailing address

3634 Glenn Lakes LN, Suite 170
Missouri City, TX 77459-4045
Phone (281) 606-0622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170227001742 TX Practitioner - Nurse Practitioner 5395029995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solace Management LCGroup PAC ID 6901136076, 3 clinicians

Practice addresses (Care Compare)

3634 Glenn Lakes LN
Suite 170
Missouri City, TX 77459-4045
Phone (281) 606-0622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP132878TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind & Brain, PC CurrentSince Jul 25, 2021 Accepting new patients
Solace Management LC Psychiatric/Mental Health CurrentSince Jun 1, 2021 Accepting new patients

Locations

3634 Glenn Lakes Ln
Ste 170
Missouri City, TX 77459
Phone 2816060622 ext. 08560

7435 Highway 6
Ste C
Missouri City, TX 77459
Phone (281) 606-0622

6140 Highway 6
Missouri City, TX 77459
Phone (281) 745-2199

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1215476940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 GLENN LAKES LN, SUITE 170",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594045",
            "telephone_number": "281-606-0622",
            "fax_number": "281-476-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 GLENN LAKES LN, SUITE 170",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594045",
            "telephone_number": "281-606-0622",
            "fax_number": "281-476-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "VITA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DNP, RN, APRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP132878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.