Vibewell Connect LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

VIBEWELL CONNECT LLC

Doing business as

VibeWell Connect LLC

Practice address

4117 Ruckle St
Indianapolis, IN 46205-2720

Phone

(317) 203-1905

NPI assigned

Aug 28, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Samantha Nichole Wolfe-Taylor, PHDNPI 1689241192

Title

Co-Owner

Phone

(317) 203-9305

Specialties & licenses 1

Addresses

Other names 1

• VibeWell Connect LLC Doing business as

Practitioners 1

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.

• Samantha N Wolfe-Taylor, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1689241192
  NPD Authorized official

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1467286930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 N KEYSTONE AVE STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 RUCKLE ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052720",
            "telephone_number": "317-203-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBEWELL CONNECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "WOLFE-TAYLOR",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "317-203-9305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VibeWell Connect LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dessie M Vetter, NP
• Jennifer Widell Vetter, P.T., OCS
• Viaquest Community Solutions, LLC (Insights)
• Viaquest Holdings LTD (Insights)
• Michael Steven Vibbert, D.D.S.
• Andrew J Vicar, MD
• Amanda Vice
• Madelyn G Vickery-Giddens, NP
• Jeannie M Vickery, DDS
• Ryan Vickery, MD

• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.