Active NPI
Vitalmind Response LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Boardman, OH
National Provider Identifier
1942161872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- VITALMIND RESPONSE LLC
- Practice address
- 143 Boardman-Canfield Road, PMB #339
Boardman, OH 44512 - Phone
- (330) 274-4803
- NPI assigned
- Nov 20, 2025
- 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
- Quayla Simms, M.A
- Title
- Owner
- Phone
- (330) 518-2156
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 Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
143 Boardman-Canfield Road, PMB #339
Boardman, OH 44512
Mailing address
2864 Bears Den CT
Youngstown, OH 44511-1214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
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.
-
- Professional Counselor
- East Liverpool, OH
- NPI 1366902959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785110400000",
"number": "1942161872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2864 BEARS DEN CT",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445111214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 BOARDMAN-CANFIELD ROAD, PMB #339",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "44512",
"telephone_number": "330-274-4803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALMIND RESPONSE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-20",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A",
"authorized_official_last_name": "SIMMS",
"authorized_official_first_name": "QUAYLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-518-2156",
"authorized_official_credential": "M.A"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.