=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831057140
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VIBRANT LIFE COUNSELING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/14/2026
-----------------------------------------------------
Last Update Date | 01/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13649 NE 12TH ST APT 103
-----------------------------------------------------
City | BELLEVUE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98005-2728
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-752-1904
-----------------------------------------------------
Fax | 206-758-4648
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15790 REDMOND WAY # 1231
-----------------------------------------------------
City | REDMOND
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98052-3830
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-752-1904
-----------------------------------------------------
Fax | 206-758-4648
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | THERAPIST
-----------------------------------------------------
Name | JAMI ANNETTE VISAYA
-----------------------------------------------------
Credential | LMHC, LMFT
-----------------------------------------------------
Telephone | 206-752-1904
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------