Authentic Vibrancy Company PLLC
NPI 1245116680ActiveOrganization· Counselor, Mental Health· Mount Vernon, WA
Counselor, Mental Health in Mount Vernon, Washington, registered in NPPES in August 2025. The authorized official on file is Tracy Wiesneske, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1245116680 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2025 |
| Last updated in NPPES | Aug 12, 2025 |
| Certified by provider | Aug 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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