Vibrant Minds Therapy & Consulting LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

VIBRANT MINDS THERAPY & CONSULTING LLC

Practice address

820 Jordan St Ste 509
Shreveport, LA 71101-4526

Phone

(318) 242-1441

Fax

(318) 300-1130

NPI assigned

Mar 2, 2021

Last updated

Jun 16, 2021By 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

Jessica Smith, LCSWNPI 1639529118

Title

Ceo

Phone

(318) 242-1441

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

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.

• Jessica Smith

  • Clinical Social Worker
  • Shreveport, LA
  • NPI 1639529118
  Medicare reassignment NPD Authorized official
• Kertrigus Lushun Thomas, LMSW

  • Social Worker
  • Shreveport, LA
  • NPI 1053816793
  NPD (past)

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1629663620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST STE 509",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014526",
            "telephone_number": "318-242-1441",
            "fax_number": "318-300-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST STE 509",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014526",
            "telephone_number": "318-242-1441",
            "fax_number": "318-300-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT MINDS THERAPY & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-242-1441",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verigenix Labs
• Leo Verlander Jr., MD
• Romesa Vernon, MS
• Judith Vestal, O.T.
• Zachary Veuleman, LPC
• Scarlett Vicente
• Erica Victor
• Hunter Vienne
• Vieux Carre Investments, LLC (Physicians Weight Loss Centers)
• Mark P. Vigen, PH.D.

• Clinical Social Worker in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.