VIBRANT INTEGRATIVE PSYCHIATRY PLLC
NPI 1962116459
Clinic/Center - Mental Health (Including Community Mental Health Center) in Kenosha, WI
About Vibrant Integrative Psychiatry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIBRANT INTEGRATIVE PSYCHIATRY PLLC (NPI 1962116459) is a healthcare organization registered as a mental health (including community mental health center) in Kenosha, Wisconsin and active in the NPI registry since January 2023. The organization lists Ilya Melina Ray, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted 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 Integrative Psychiatry Pllc 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 Integrative Psychiatry PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Integrative Psychiatry PLLC's NPI number?
The NPI number for Vibrant Integrative Psychiatry PLLC is 1962116459. It was assigned to this organization in the NPPES registry on January 9, 2023.
Where is Vibrant Integrative Psychiatry PLLC located?
Vibrant Integrative Psychiatry PLLC is located at 6530 Sheridan Rd Ste 3, Kenosha, WI 53143. The listed phone number is (224) 285-6006.
What is Vibrant Integrative Psychiatry PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Vibrant Integrative Psychiatry PLLC enrolled in Medicare?
Yes. Vibrant Integrative Psychiatry PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vibrant Integrative Psychiatry PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Vibrant Integrative Psychiatry PLLC. 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 Integrative Psychiatry PLLC accept?
Health plans from CareSource (Common Ground Healthcare) list Vibrant Integrative Psychiatry PLLC 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 Integrative Psychiatry PLLC was last updated on April 10, 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.
# Vibrant Integrative Psychiatry Pllc · NPI 1962116459
Mental Health (Including Community Mental Health Center) organization in Kenosha, Wisconsin. Organization record, active in the CMS NPPES registry since January 9, 2023.
## Identity
- **NPI:** 1962116459 (Entity type: Organization)
- **Enumerated:** January 9, 2023
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Ilya Ray, OWNER
## Practice location
- **Address:** 6530 SHERIDAN RD STE 3, Kenosha, WI 53143-5063
- **Phone:** (224) 285-6006
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1962116459) · Data from the CMS NPPES public registry.