Organization Active NPI

Vita Therapy Collective LLC

  • Psychologist
  • State College, PA
National Provider Identifier
1295644136
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
VITA THERAPY COLLECTIVE LLC
Practice address
474 Windmere Dr Ste 301a
State College, PA 16801-7643
Phone
(814) 929-1560
NPI assigned
Sep 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Erica Wiley
Title
Co-Owner
Phone
(814) 935-9760

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

474 Windmere Dr Ste 301a
State College, PA 16801-7643

Mailing address

474 Windmere Dr Ste 301a
State College, PA 16801-7643

NPI Registry JSON

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1295644136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 WINDMERE DR STE 301A",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 WINDMERE DR STE 301A",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017643",
            "telephone_number": "814-929-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA THERAPY COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "814-935-9760"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.