VIDA MENTAL HEALTH SERVICES INC – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1275145898

VIDA MENTAL HEALTH SERVICES INC is a healthcare provider. based in Port saint lucie, Florida. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). The NPI Number for VIDA MENTAL HEALTH SERVICES INC is 1275145898

Main info

Organization
Name
VIDA MENTAL HEALTH SERVICES INC
NPI
1275145898
Phone
(305) 879-0565
Address
7434 S US HIGHWAY 1
Authorized Official
YELENA INGUANZO PRESIDENT LMHC
Enumeration Date
17 August 2020
Last Update Date
10 September 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:5State licenses:0Digital endpointsOther names

Provider Addresses for VIDA MENTAL HEALTH SERVICES INC

  • 7434 S US HIGHWAY 1

    PORT SAINT LUCIE, FL 349521417

    Phone: (305) 879-0565

    Type: Mailing

  • 7745 NW 146TH ST # F1

    MIAMI LAKES, FL 330161559

    Phone: (786) 633-5992

    Fax: (786) 420-2151

    Type: Mailing

  • 7745 NW 146TH ST # F1ANDF2

    MIAMI LAKES, FL 330161559

    Phone: (786) 633-5992

    Fax: (786) 420-2151

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-07-31 (48 days away).

Enrollment records

2

Earliest due date

2026-07-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20201117000842OClinic/Group PracticeFL2026-07-31
O20250327000757OCommunity Mental Health CenterFLTBD

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34952)

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Reviews

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Frequently asked questions

How do payers reference VIDA MENTAL HEALTH SERVICES INC?
For VIDA MENTAL HEALTH SERVICES INC, use NPI 1275145898 as the unique 10-digit identifier.
Active or inactive — what applies to VIDA MENTAL HEALTH SERVICES INC?
You should see VIDA MENTAL HEALTH SERVICES INC as active in CMS-hosted NPPES data.
What clinical focus is listed for VIDA MENTAL HEALTH SERVICES INC?
At a glance, VIDA MENTAL HEALTH SERVICES INC is tied to Mental Health Clinic/Center (Including Community Mental Health Center). Clinical services aligned with this taxonomy classification.
What locale is associated with VIDA MENTAL HEALTH SERVICES INC?
Directory geography for VIDA MENTAL HEALTH SERVICES INC centers on Port Saint Lucie, Florida.
When was this NPI issued?
Enumeration for VIDA MENTAL HEALTH SERVICES INC is noted as August 17, 2020 where the registry provides it.

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