Vibrance Art Therapy

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

VIBRANCE ART THERAPY

Practice address

27733 John R Rd # 1062
Madison Heights, MI 48071-3368

Phone

(313) 744-2417

Fax

(313) 751-3695

NPI assigned

May 7, 2024

Last updated

May 7, 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

Kalle Pasch, LPCNPI 1841941523

Title

Owner

Phone

(313) 744-2417

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Kalle Pasch

  • Mental Health Counselor
  • Southfield, MI
  • NPI 1841941523
  Medicare reassignment NPD Authorized official
• Hope Doucet, LMSW

  • Clinical Social Worker
  • Farmington Hills, MI
  • NPI 1437657392
  NPD (past)

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1760230619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27733 JOHN R RD # 1062",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713368",
            "telephone_number": "313-744-2417",
            "fax_number": "313-751-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27733 JOHN R RD # 1062",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713368",
            "telephone_number": "313-744-2417",
            "fax_number": "313-751-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANCE ART THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "PASCH",
        "authorized_official_first_name": "KALLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-744-2417",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louise Verbeke, LLMSW
• Deanna Kathleen Vertesi, D.D.S.
• Verve Dynamics LLC
• VHS Harper-Hutzel Hospital Inc (Surgery Hospital)
• VHS Huron Valley-Sinai Hospital Inc (Madison Behavioral Health Services)
• Renee Ann Villaluz, D.O.
• Rechelle Cruz Villanueva, R.P.T
• Vision Home Care Inc
• Vision Plan Incorporated (Henry Ford Optimeyes)
• Visionworks, Inc. (Visionworks)

• Counselor in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Counselor in Michigan

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