Vivify Therapeutics, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

VIVIFY THERAPEUTICS, LLC

Practice address

315 NE Evans St Ste 3
McMinnville, OR 97128-4627

Phone

(971) 237-7390

NPI assigned

Mar 4, 2022

Last updated

Mar 4, 2022By 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

Cassandra Gardner, LPCNPI 1306360508

Title

Owner

Phone

(971) 237-7390

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Cassandra Michelle Gardner

  • Professional Counselor
  • Bend, OR
  • NPI 1306360508
  Authorized official Same address or phone

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1225785611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 NW 10TH ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971285015",
            "telephone_number": "971-237-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NE EVANS ST STE 3",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284627",
            "telephone_number": "971-237-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIFY THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-237-7390",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cassie@vivifytherapeutics.com",
            "affiliation": "N",
            "endpointDescription": "email with encryption",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "315 NE Evans St Ste 3",
            "city": "McMinnville",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971284627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Virginia Garcia Memorial Health Center
• Virginia Garcia Memorial Health Center
• Virginia Garcia Memorial Health Center (VG McMinnville Pharmacy)
• Jordan Nicholas Visser, PT
• Vital Care LLC (Vital Care)
• Robert A Vollan
• Linda R. Volz, M.S., LPC, LMFT,NCAC
• Vop Cedarbrook Place, LLC
• Lacey Wade
• Andrea M Wagner, FNP-C

• Mental Health Counselor in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.