Vibrant Mental Wellness LLC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

Legal business name

VIBRANT MENTAL WELLNESS LLC

Practice address

4213 Theo St
Big Spring, TX 79720-7027

Phone

(763) 568-6378

NPI assigned

Aug 31, 2023

Organization subpart

No

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

Authorized official

Name

Miss Jackline Auka, NPNPI 1417675026

Title

Owner

Phone

(206) 438-3878

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Vibrant Mental Wellness LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Vibrant Mental Wellness LLC

  • Psychiatric/Mental Health Registered Nurse
  • Fort Worth, TX
  • NPI 1861257776
  NPD tax ID
• Vibrant Mental Wellness LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Portland, OR
  • NPI 1033974944
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Vibrant Mental Wellness LLC

  • Psychiatric/Mental Health Registered Nurse
  • Fort Worth, TX
  • NPI 1861257776
  NPPES parent name

Practitioners 2

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

• Jackline Auka

  • Psychiatric/Mental Health Nurse Practitioner
  • San Angelo, TX
  • NPI 1417675026
  Medicare reassignment NPD Authorized official
• Irene Ocharo

  • Psychiatric/Mental Health Nurse Practitioner
  • Goodyear, AZ
  • NPI 1124848080

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1225813769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 THEO ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797207027",
            "telephone_number": "206-438-3978",
            "fax_number": "206-453-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 THEO ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797207027",
            "telephone_number": "763-568-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT MENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "AUKA",
        "authorized_official_first_name": "JACKLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-438-3878",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kokila S Vasanawala, MD
• Shreenivas K. Vasanawala, M.D.
• Nancy Faye Vassar, WHNP
• VCKB Management, LTD
• Shelley Colene Vela
• Juan Vigoa
• Alayna Marie Vise, AU.D., CCC-A
• Samantha Maxine Wade, COTA/L
• Wal-Mart Stores Texas LLC
• Wal-Mart Stores Texas, LP

• Psychiatric/Mental Health Clinical Nurse Specialist in Big Spring, TX
• Providers in Big Spring, TX by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.