Active NPI
Vidas Counseling
- Mental Health Counselor
- Wilkes Barre, PA
National Provider Identifier
1629937610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- VIDAS COUNSELING
- Practice address
- 1 N Beech Rd
Wilkes Barre, PA 18705-2201 - Phone
- (973) 932-8523
- NPI assigned
- Jan 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yvette Perdomo, LPC
- Title
- Ceo
- Phone
- (973) 932-8523
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1 N Beech Rd
Wilkes Barre, PA 18705-2201
Mailing address
1 N Beech Rd
Wilkes Barre, PA 18705-2201
Phone (973) 932-8523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1768521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768521600000",
"number": "1629937610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 N BEECH RD",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187052201",
"telephone_number": "973-932-8523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 N BEECH RD",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187052201",
"telephone_number": "973-932-8523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIDAS COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-16",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A",
"authorized_official_last_name": "PERDOMO",
"authorized_official_first_name": "YVETTE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "973-932-8523",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.