Vitalis Psychotherapy and Counselling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

VITALIS PSYCHOTHERAPY AND COUNSELLING LLC

Practice address

771 E Southlake Blvd Ste 101
Southlake, TX 76092-1483

Phone

(682) 593-1701

NPI assigned

Nov 26, 2024

Last updated

Nov 26, 2024By 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

Aanchal RajagopalNPI 1609575455

Title

Ceo

Phone

(801) 696-6038

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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.

• Aanchal Rajagopal, MS

  • Professional Counselor
  • Mansfield, TX
  • NPI 1609575455
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1720804479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 PRINCE GEORGE CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 E SOUTHLAKE BLVD STE 101",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921483",
            "telephone_number": "682-593-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALIS PSYCHOTHERAPY AND COUNSELLING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "RAJAGOPAL",
        "authorized_official_first_name": "AANCHAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-696-6038"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shailesh C Vora, M. D.

• Mental Health Counselor in Southlake, TX
• Providers in Southlake, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.