Individual provider Active NPI

S Vaun Mitchell, HOLISTIC LIFE COACH

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
National Provider Identifier
1265087209
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Practice address
5318 Winneste Ave
Cincinnati, OH 45232-1133
Phone
(513) 692-4233
NPI assigned
Aug 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X OH
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X OH Primary

Addresses

Primary practice location

5318 Winneste Ave
Cincinnati, OH 45232-1133

Mailing address

10290 Cheltenham Dr
Cincinnati, OH 45231-1822
Phone (513) 692-4233

Other names 1

  • Coach Vee Mitchell-Palmer Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1265087209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10290 CHELTENHAM DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452311822",
            "telephone_number": "513-692-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 WINNESTE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452321133",
            "telephone_number": "513-692-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "S",
        "middle_name": "VAUN",
        "credential": "HOLISTIC LIFE COACH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COACH VEE",
            "last_name": "MITCHELL-PALMER",
            "credential": "HOLISTIC LIFE COACH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.