Active NPI
Imani Vital
- Professional Counselor
- Spring, TX
National Provider Identifier
1366208944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 96738
- Practice address
- 20008 Champion Forest Dr
Spring, TX 77379-8694 - Phone
- (713) 240-1837
- NPI assigned
- Feb 22, 2024
- Last updated
- Jul 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 96738 | TX | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
20008 Champion Forest Dr
Spring, TX 77379-8694
Mailing address
4620 N Braeswood Blvd Apt 229
Houston, TX 77096-2854
Phone (682) 500-9273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
17503 La Cantera Pkwy
Suite 104
San Antonio, TX 78257-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1366208944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4620 N BRAESWOOD BLVD APT 229",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770962854",
"telephone_number": "682-500-9273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20008 CHAMPION FOREST DR",
"city": "SPRING",
"state": "TX",
"postal_code": "773798694",
"telephone_number": "713-240-1837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITAL",
"first_name": "IMANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-22",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "96738",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
- Visionworks, Inc.
- Vista Prime Inc (Vista Prime EMS)
- Visual Compassion Inc (InFOCUS Vision Center)
- Vita Dental Gosling PLLC
- Vital Line Picc and Vascular Services, Inc. (Vital Hearts Home Care)
- Vitality Hivb PLLC, Vitality Hormone & IV Bar
- Vitality Medical Clinic, PLLC
- Vitality Wellness LLC (Vitality Hormones & IV Bar)
- Marney Vitthal
- VM Foot Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.