Vibrant Life Counseling, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

VIBRANT LIFE COUNSELING, PLLC

Practice address

1101 W Market St
Greensboro, NC 27403-1829

Phone

(336) 270-9501

NPI assigned

Jan 8, 2021

Last updated

Apr 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

Jena Perkins Johnson, LCMCHANPI 1407474109

Title

Owner

Phone

(336) 301-3426

Specialties & licenses 1

Addresses

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.

• Jena P Johnson, LCMHCA

  • Mental Health Counselor
  • Greensboro, NC
  • NPI 1407474109
  NPD Authorized official

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1750979332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 FORDING CREEK LN",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272846347",
            "telephone_number": "336-301-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W MARKET ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031829",
            "telephone_number": "336-270-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT LIFE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JENA",
        "authorized_official_middle_name": "PERKINS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-301-3426",
        "authorized_official_credential": "LCMCHA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Lee Verdin
• Sheila Marshall Vernon, PA
• Sheri Rae Vettel, MPH, RD, LDN
• VH Provider Group, P.a.
• Viarenew Greensboro, PLLC
• Nicholas R Vickers
• Vicnikolspeaks: Counseling and Wellness, PLLC
• Victory House
• Valencia Marie Vigarino, DPT
• Bethany Parrish Vigilante, MA CCC-SLP

• Adult Mental Health Clinic/Center in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.