VIBRANT WELLNESS, LLC
NPI 1083331821
Counselor - Professional in Altoona, PA

Active since October 24, 2022
1216 PLEASANT VALLEY BLVD STE 208, ALTOONA, PA 16602(814) 554-0512 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 12, 2023, Oct 24, 2022 (2 updates tracked since 2022).

About Vibrant Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIBRANT WELLNESS, LLC (NPI 1083331821) is a healthcare organization registered as a professional in Altoona, Pennsylvania and active in the NPI registry since October 2022. The organization lists Susan L Lockard, Owner, as its authorized official.

NPPES Registry Identity

NPI1083331821
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameVIBRANT WELLNESS, LLC
Location Address1216 PLEASANT VALLEY BLVD STE 208Altoona, PA 16602-4750
Mailing Address1216 Pleasant Valley Blvd Ste 208Altoona, PA 16602-4750 · (814) 554-0512
Organization SubpartNo
Authorized OfficialSusan L LockardOwner · (814) 554-0512
Enumeration DateOctober 24, 2022
Last NPPES UpdateJune 12, 20232 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1083331821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1216 PLEASANT VALLEY BLVD STE 208, Altoona, PA 16602

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vibrant Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vibrant Wellness, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1699390906
1216 PLEASANT VALLEY BLVD STE 208
Altoona, PA 16602
(814) 952-8211
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vibrant Wellness, LLC's NPI number?

The NPI number for Vibrant Wellness, LLC is 1083331821. It was assigned to this organization in the NPPES registry on October 24, 2022.

Where is Vibrant Wellness, LLC located?

Vibrant Wellness, LLC is located at 1216 Pleasant Valley Blvd Ste 208, Altoona, PA 16602. The listed phone number is (814) 554-0512.

What is Vibrant Wellness, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Vibrant Wellness, LLC enrolled in Medicare?

Yes. Vibrant Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vibrant Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Vibrant Wellness, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vibrant Wellness, LLC was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.