Vita Nova Wellness

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

VITA NOVA WELLNESS

Practice address

3401 Enterprise Pkwy Ste 340-544
Beachwood, OH 44122-7341

Phone

(216) 200-6909

NPI assigned

Apr 19, 2024

Organization subpart

No

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

Authorized official

Name

Holly KirkNPI 1730325069

Title

Owner

Phone

(440) 342-1544

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Holly Elizabeth Kirk, LPCC

  • Mental Health Counselor
  • Rocky River, OH
  • NPI 1730325069
  NPD Authorized official
• Brittany Roppel, LISW

  • Clinical Social Worker
  • Willoughby, OH
  • NPI 1972056505
  NPD
• Amelia Renee Serio

  • Professional Counselor
  • Beachwood, OH
  • NPI 1790284826

  Mental Health

  NPD

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1255186664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 ENTERPRISE PKWY STE 340-544",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 ENTERPRISE PKWY STE 340-544",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227341",
            "telephone_number": "216-200-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA NOVA WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-342-1544"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor M Bello MD, LLC
• Rosita Villegas Villanueva, M.D.
• Villas at King David Center LLC
• Johanna Lynn Vine, MA, CCC-SLP
• Visionworks Inc
• Barbara A Vizy, M.D.
• Cynthia Vlna, CNP
• Carl James Vondracek, M ED, PCC-S
• Vivian Vongruenigen, MD
• Neelam Vyas, PHARMD

• Mental Health Counselor in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.