NPIMap

Organization Active NPI

Invigorate Life Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
National Provider Identifier
1508107541
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
INVIGORATE LIFE COUNSELING, PLLC
Practice address
1154 Grand Ave
Suite 2
Saint Paul, MN 55105-2628
Phone
(651) 983-3879
NPI assigned
Mar 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Melanie MP Vinton, LMFTNPI 1073832358
Title
Owner
Phone
(651) 983-3879

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MN Primary

Addresses

Primary practice location

1154 Grand Ave
Suite 2
Saint Paul, MN 55105-2628

Mailing address

1154 Grand Ave
Suite 2
St. Paul, MN 55104
Phone (651) 983-3879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240924001486 MN Part B Supplier - Clinic/Group Practice 3577004001 Receives reassigned benefits from 12 practitioners
Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

1154 Grand Ave
#2
Saint Paul, MN 55105
Phone (612) 619-7611

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1508107541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 GRAND AVE",
            "address_2": "SUITE 2",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-983-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 GRAND AVE",
            "address_2": "SUITE 2",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052628",
            "telephone_number": "651-983-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVIGORATE LIFE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "VINTON",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "MP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-983-3879",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.