Vibrant Therapy Collective, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

VIBRANT THERAPY COLLECTIVE, LLC

Practice address

262 Southwest Dr
Jonesboro, AR 72401-5829

Phone

(870) 938-0052

NPI assigned

Dec 16, 2021

Last updated

Sep 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Sweat, LCSWNPI 1487006748

Title

Owner

Phone

(870) 679-9972

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 4

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.

• Stephanie Sweat, LCSW

  • Clinical Social Worker
  • Jonesboro, AR
  • NPI 1487006748
  Medicare reassignment Care Compare group NPD Authorized official
• Stephanie Cook

  • Clinical Social Worker
  • Jonesboro, AR
  • NPI 1063829745
  Medicare reassignment Care Compare group NPD
• Carmen L Boyd, LCSW

  • Clinical Social Worker
  • Jonesboro, AR
  • NPI 1043821598
  Medicare reassignment NPD
• Shaquata Davis, LCSW

  • Clinical Social Worker
  • Jonesboro, AR
  • NPI 1831431733
  Medicare reassignment NPD

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1457010498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 SOUTHWEST DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015829",
            "telephone_number": "870-679-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 SOUTHWEST DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015829",
            "telephone_number": "870-938-0052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 E Highland Dr Ste 210B",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724016191",
            "country_code": "US",
            "telephone_number": "870-679-9972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIBRANT THERAPY COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "SWEAT",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-679-9972",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "stephanie@vibrant-therapy.net",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "encrypted email",
            "address_1": "2005 E Highland Dr Ste 210B",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724016191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha I Vericker, LPN
• Virendar Kumar Verma, M.D.
• Jeremy H Vestal
• Vetcore22
• Kristi Viala, PT
• Keri Danielle Victory-McDaniel, PMHNP-BC
• Viking Aviation
• Sarahjane Peralta Villarama, OTR
• Carshina Vincent, MCD CCC-SLP
• Joe W Vincent, PHARMACIST

• Clinical Social Worker in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.