NPIMap

Organization Active NPI

Vitality Counseling, Inc

  • Professional Counselor
  • Rincon, GA
National Provider Identifier
1437657160
Registry record updated Sep 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
VITALITY COUNSELING, INC
Practice address
135 Goshen Road Ext Ste 256
Rincon, GA 31326-5575
Phone
(912) 421-1000
Fax
(912) 421-1189
NPI assigned
Jan 29, 2018
Last updated
Sep 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2023

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

Authorized official

Name
Reagan Reese Powell, LPC, NCCNPI 1659726255
Title
Licensed Professional Counselor
Phone
(912) 421-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

135 Goshen Road Ext Ste 256
Rincon, GA 31326-5575

Mailing address

135 Goshen Road Ext Ste 203
Rincon, GA 31326-5569
Phone (912) 421-1188

National Provider Directory

National Provider Directory

Locations

135 Goshen Road Ext
Ste 203
Rincon, GA 31326
Phone (912) 355-3881

135 Goshen Road Ext
Ste 256
Rincon, GA 31326
Phone (912) 421-1000

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694908800000",
    "number": "1437657160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GOSHEN ROAD EXT STE 203",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265569",
            "telephone_number": "912-421-1188",
            "fax_number": "912-421-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 GOSHEN ROAD EXT STE 256",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265575",
            "telephone_number": "912-421-1000",
            "fax_number": "912-421-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2023-09-17",
        "certification_date": "2023-09-17",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "REAGAN",
        "authorized_official_middle_name": "REESE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "912-421-1000",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2023; 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.