Viriditas LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

VIRIDITAS LLC

Practice address

1307 Park Ave Ste 10-223
Williamsport, PA 17701-4590

Phone

(401) 315-4644

NPI assigned

Apr 30, 2025

Organization subpart

No

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

Authorized official

Name

Katya VallonNPI 1033439393

Title

Owner, Psychotherapist

Phone

(401) 315-4644

Specialties & licenses 1

Addresses

Other names 1

• Sacred Wildness Psychotherapy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

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.

• Katya Elysia Vallon

  • Mental Health Counselor
  • Williamsport, PA
  • NPI 1033439393
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1972391654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 MOSQUITO VALLEY RD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177028729",
            "telephone_number": "401-315-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 PARK AVE STE 10-223",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177014590",
            "telephone_number": "401-315-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRIDITAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "VALLON",
        "authorized_official_first_name": "KATYA",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "401-315-4644"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacred Wildness Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Verzella
• Melanie Lozano Villegas, PT
• Vincent I. Disalvo, Inc.
• Mary Ann Vincenti, RD
• Kristin Vincenzes, PH.D., LPC, NCC, ACS
• Merete Vogelsong
• Parker Steven Voitek, PA-C
• Arno Vosk, M.D.
• Matthew Tobias Vosk, LSW
• Melissa Waddell

• Professional Counselor in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.