Organization Active NPI

Vita Matters Therapy

  • Professional Counselor
  • Largo, MD
National Provider Identifier
1609520840
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
VITA MATTERS THERAPY
Doing business as
Vita Matters Therapy
Practice address
9701 Apollo Dr Ste 100
Largo, MD 20774-4785
Phone
(443) 618-1100
Fax
(301) 262-3696
NPI assigned
Feb 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Ms. Velma Marie Taylor, LCPCNPI 1215309257
Title
Ceo
Phone
(445) 995-9835

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

9701 Apollo Dr Ste 100
Largo, MD 20774-4785

Mailing address

PO Box 93
Glenn Dale, MD 20769-0093
Phone (443) 618-1100

Other names 1

  • Vita Matters Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241206000561 DC Part B Supplier - Clinic/Group Practice 4981130523 Receives reassigned benefits from 1 practitioner
Practice locations: Glenn Dale, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1609520840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207690093",
            "telephone_number": "443-618-1100",
            "fax_number": "301-262-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR STE 100",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207744785",
            "telephone_number": "443-618-1100",
            "fax_number": "301-262-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA MATTERS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "VELMA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "445-995-9835",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vita Matters Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.