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VIBRANT MINDS THERAPY & CONSULTING LLC
NPI 1629663620
Social Worker - Clinical in Shreveport, LA

Active since March 02, 2021
820 JORDAN ST STE 509, SHREVEPORT, LA 71101(318) 242-1441(318) 300-1130 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 16, 2021, Mar 2, 2021 (2 updates tracked since 2021).

About Vibrant Minds Therapy & Consulting Llc NPPES

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

VIBRANT MINDS THERAPY & CONSULTING LLC (NPI 1629663620) is a healthcare organization registered as a clinical in Shreveport, Louisiana and active in the NPI registry since March 2021. The organization lists Jessica Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629663620
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameVIBRANT MINDS THERAPY & CONSULTING LLC
Location Address820 JORDAN ST STE 509Shreveport, LA 71101-4526
Mailing Address820 Jordan St Ste 509Shreveport, LA 71101-4526 · (318) 242-1441 · Fax (318) 300-1130
Phone(318) 242-1441
Fax(318) 300-1130
Organization SubpartNo
Authorized OfficialJessica SmithCeo · (318) 242-1441
Enumeration DateMarch 2, 2021
Last NPPES UpdateJune 16, 20212 updates tracked since enumeration
NPPES CertifiedJune 16, 2021
✔ NPI 1629663620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
820 JORDAN ST STE 509, Shreveport, LA 71101
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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 Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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 Minds Therapy & Consulting 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 Minds Therapy & Consulting LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jessica Smith
Clinical Social Worker
NPI 1639529118
820 JORDAN ST STE 509
Shreveport, LA 71101
(318) 242-1441
✔ 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 Minds Therapy & Consulting LLC's NPI number?

The NPI number for Vibrant Minds Therapy & Consulting LLC is 1629663620. It was assigned to this organization in the NPPES registry on March 2, 2021.

Where is Vibrant Minds Therapy & Consulting LLC located?

Vibrant Minds Therapy & Consulting LLC is located at 820 Jordan St Ste 509, Shreveport, LA 71101. The listed phone number is (318) 242-1441.

What is Vibrant Minds Therapy & Consulting LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Vibrant Minds Therapy & Consulting LLC enrolled in Medicare?

Yes. Vibrant Minds Therapy & Consulting LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vibrant Minds Therapy & Consulting LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Vibrant Minds Therapy & Consulting 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.

What insurance does Vibrant Minds Therapy & Consulting LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Vibrant Minds Therapy & Consulting 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 Minds Therapy & Consulting LLC was last updated on June 16, 2021. 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.