Organization Active NPI

Vida Counseling Center LLC

  • Mental Health Counselor
  • Munster, IN
National Provider Identifier
1811889298
Registry record updated Apr 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
VIDA COUNSELING CENTER LLC
Practice address
9601 N Centennial Dr Ste 333
Munster, IN 46321-4077
Phone
(219) 779-2500
NPI assigned
Jul 18, 2025
Last updated
Apr 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laura MatthewsNPI 1760080931
Title
Owner
Phone
(219) 595-0043

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

9601 N Centennial Dr Ste 333
Munster, IN 46321-4077

Mailing address

8651 Sheffield Ave
Dyer, IN 46311-2758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260511000382 IN Part B Supplier - Clinic/Group Practice 2365910122 Receives reassigned benefits from 1 practitioner
Practice locations: Munster, IN

National Provider Directory

National Provider Directory

Locations

9601 N Centennial Dr
Ste 333
Munster, IN 46321
Phone (219) 779-2500

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775347200000",
    "number": "1811889298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8651 SHEFFIELD AVE",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463112758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 N CENTENNIAL DR STE 333",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214077",
            "telephone_number": "219-779-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2026-04-05",
        "certification_date": "2026-04-05",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-595-0043"
    },
    "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 Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.