Individual provider Active NPI

Vyata Mungur, MA, LMHC

  • Mental Health Counselor
  • Bradenton, FL
National Provider Identifier
1497268890
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17904 Issued in FL
Practice address
6065 39TH CT E
Bradenton, FL 34203-7003
Phone
(386) 299-7937
NPI assigned
Nov 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X IMH15795 FL
Mental Health Counselor 101YM0800X MH17904 FL Primary

Addresses

Primary practice location

6065 39TH CT E
Bradenton, FL 34203-7003

Mailing address

6065 39TH CT E
Bradenton, FL 34203-7003
Phone (386) 299-7937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917002287 FL Practitioner - Mental Health Counselor 3779024807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5715 21St Ave W
Bradenton, FL 34209-5605
Phone (941) 346-6460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMH15795FLMDCounselor
MH17904FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of North Carolina, P.C. CurrentSince Sep 12, 2025 Accepting new patients
Optum Behavioral Care of North Carolina, PC CurrentSince Sep 12, 2025 Accepting new patients
Southeast Psych Services LLC Mental Health CurrentSince Sep 1, 2024 Accepting new patients

Locations

5715 21st Ave W
Bradenton, FL 34209
Phone (941) 346-6460

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

1090 Tamiami Trl
Sarasota, FL 34236
Phone 94136308782005

1265 Interstate Pkwy
#B
Augusta, GA 30909
Phone (706) 204-1366

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1497268890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6065 39TH CT E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342037003",
            "telephone_number": "386-299-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 39TH CT E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342037003",
            "telephone_number": "386-299-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGUR",
        "first_name": "VYATA",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "IMH15795",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.