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VIBRANT LIFE THERAPY LLC
NPI 1417543877
Marriage & Family Therapist in Minneapolis, MN

Active since December 18, 2020
2608 BLAISDELL AVE, MINNEAPOLIS, MN 55408(651) 208-9409 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Vibrant Life Therapy Llc NPPES

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

VIBRANT LIFE THERAPY LLC (NPI 1417543877) is a healthcare organization registered as a marriage & family therapist in Minneapolis, Minnesota and active in the NPI registry since December 2020. The organization lists Tanya Brown, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1417543877
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameVIBRANT LIFE THERAPY LLC
Location Address2608 BLAISDELL AVEMinneapolis, MN 55408-5107
Mailing Address1189 Brighton PlSaint Paul, MN 55106-1107
Phone(651) 208-9409
Organization SubpartNo
Authorized OfficialTanya BrownOwner/therapist · (651) 208-9409
Enumeration DateDecember 18, 2020
Last NPPES UpdateDecember 21, 2020
NPPES CertifiedDecember 21, 2020
✔ NPI 1417543877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2608 BLAISDELL AVE, Minneapolis, MN 55408
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Vibrant Life Therapy LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Justin Levy, LICSW
Clinical Social Worker
NPI 1063381028
1612C W LAKE ST
Minneapolis, MN 55408
(612) 202-9552
✔ PECOS1.2 mi
Tanya Brown
Marriage and Family Therapist
NPI 1710549290
8085 WAYZATA BLVD STE 215
Golden Valley, MN 55426
(651) 387-5312
✔ PECOS5.2 mi
Regina Mhiripiri, M.A., LAMFT
Marriage and Family Therapist
NPI 1912401902
10000 HWY 55 STE 200
Plymouth, MN 55441
(612) 441-5072
✔ PECOS✔ Accepts Medicare6.5 mi
Gao Vang, LGSW
Clinical Social Worker
NPI 1992303655
311 RAMSEY ST STE 105
Saint Paul, MN 55102
(651) 408-5069
✔ PECOS✔ Accepts Medicare8.2 mi

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 Life Therapy LLC's NPI number?

The NPI number for Vibrant Life Therapy LLC is 1417543877. It was assigned to this organization in the NPPES registry on December 18, 2020.

Where is Vibrant Life Therapy LLC located?

Vibrant Life Therapy LLC is located at 2608 Blaisdell Ave, Minneapolis, MN 55408. The listed phone number is (651) 208-9409.

What is Vibrant Life Therapy LLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Vibrant Life Therapy LLC enrolled in Medicare?

Yes. Vibrant Life Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vibrant Life Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Vibrant Life Therapy LLC, in Clinical Social Worker and Marriage and Family Therapist. 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. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Vibrant Life Therapy LLC accept?

Health plans from HealthPartners list Vibrant Life Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vibrant Life Therapy LLC was last updated on December 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.