Is VITALITY CONSULTANTS LLC active?

No — VITALITY CONSULTANTS LLC is no longer active. The Wisconsin registry lists it as dissolved, as of the 2026-06-21 source snapshot. The status is republished verbatim from the Secretary of State record.

Where is VITALITY CONSULTANTS LLC registered?

VITALITY CONSULTANTS LLC is registered in Wisconsin under company number V024111, first registered on March 27, 2012.

What type of company is VITALITY CONSULTANTS LLC?

VITALITY CONSULTANTS LLC is registered as an LLC with the Wisconsin Secretary of State.

Does VITALITY CONSULTANTS LLC have UCC liens?

No UCC financing statements name VITALITY CONSULTANTS LLC as debtor in the indexed state registries.

Is VITALITY CONSULTANTS LLC a federal contractor?

VITALITY CONSULTANTS LLC appears in 1 federal recipient record (SAM.gov), indicating registration to receive federal awards. Obligation totals are not available for these records.

Does VITALITY CONSULTANTS LLC hold any licenses?

6 license and credential records are matched to VITALITY CONSULTANTS LLC. Each license, its type and issuing authority is listed in the Licenses section above.

What public records are linked to VITALITY CONSULTANTS LLC?

9 public records are linked to VITALITY CONSULTANTS LLC: 1 in Filings, 6 in Licenses & authorities, 2 in Loans — matched across federal, state and municipal registers by its registered legal names.

Where does this data come from?

Every fact on this profile is republished from official public registers — Secretary of State filings, UCC indexes and federal datasets. Each section names its issuing register and the snapshot Netstate last retrieved (latest: 2026-06-21).

VITALITY CONSULTANTS LLC — Wisconsin LLC No. V024111: Dissolved, 1 filing

VITALITY CONSULTANTS LLC is a Wisconsin LLC, registered on March 27, 2012. The company has since been marked dissolved on the Wisconsin register and is registered under company number V024111. Public records for the company include 1 SoS registration, 1 federal contract, 2 loan records and 6 Medicare provider records. Every fact here is republished from an official public register and traces back to a primary source document.

Legal entity name	VITALITY CONSULTANTS LLC
Registration state	Wisconsin
Status	Dissolved
Registered	27 March 2012 (over 14 years ago)
Dissolved	2015-03-17
Entity type	LLC
Standing	not compliant
Company number	V024111
Registered agent	JASON C WARREN
Source registry	Wisconsin Department of Financial Institutions · updated 15 June 2026
Public records	1 SoS registration

Contacts

PRO

Federal contractor	Yes · 1 federal recipient record (SAM)
SBA loans	$15K · approved amounts

State	Business name	Filed	Registered agent	Officers	Status
WisconsinTHIS	VITALITY CONSULTANTS LLC	2012-03-27	JASON C WARREN	—	Dissolved
Filing ID V024111 Jurisdiction Domestic · LLC Principal address — Registered agent JASON C WARREN385 N. ROSEDALE DR., BROOKFIELD, WI, 53005 Officers Not reported

State	License / ID	Type	Issued	Status
—	1497644124	Medicare / NPI provider	06/30/2025	Unknown
credential — deactivation date — entity type code 2 enumeration date 06/30/2025 first name — last name — last update date 04/15/2026 mailing address 1 3540 TORINGDON WAY STE 200 mailing address 2 — mailing city CHARLOTTE mailing country US mailing postal code 282774650 mailing state NC middle name — npi 1497644124 organization name VITALITY CONSULTANTS LLC practice address 1 3540 TORINGDON WAY STE 200 practice city CHARLOTTE practice postal code 282774650 practice state NC reactivation date — taxonomy code 1 207PE0004X Source: NPI registry · document npi/
Florida	1033585286	NURSE PRACTITIONER	—	Unknown
address id FL33132XXXXMIXXXXXXXXXX00 address line 1 — address line 2 — address line 2 suppressed — city MIAMI credential NP facility name VITALITY CONSULTANTS LLC first name DEIDRA gender F graduation year 2018 group accepts assignment Y individual accepts assignment Y individual enrollment id I20260219001142 individual pac id 7618260647 last name THOMPSON medical school OTHER middle name — npi 1033585286 num organization members 2 organization pac id 2567942899 primary specialty NURSE PRACTITIONER secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state FL suffix — telehealth Y telephone number 8886689087 zip code 33132 Source: CMS medicare providers · document cms-medicare/
Michigan	1730721820	NURSE PRACTITIONER	—	Unknown
address id MI48202XXXXDEXXXXXXXXXX00 address line 1 — address line 2 — address line 2 suppressed — city DETROIT credential — facility name VITALITY CONSULTANTS LLC first name TRACE gender M graduation year 2019 group accepts assignment Y individual accepts assignment Y individual enrollment id I20260424000996 individual pac id 9436584828 last name OWENS medical school OTHER middle name — npi 1730721820 num organization members 2 organization pac id 2567942899 primary specialty NURSE PRACTITIONER secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state MI suffix — telehealth — telephone number 8886689087 zip code 48202 Source: CMS medicare providers · document cms-medicare/
Pennsylvania	1033585286	NURSE PRACTITIONER	—	Unknown
address id PA19422XXXXBLXXXXXXXXXX00 address line 1 — address line 2 — address line 2 suppressed — city BLUE BELL credential NP facility name VITALITY CONSULTANTS LLC first name DEIDRA gender F graduation year 2018 group accepts assignment Y individual accepts assignment Y individual enrollment id I20220616001421 individual pac id 7618260647 last name THOMPSON medical school OTHER middle name — npi 1033585286 num organization members 2 organization pac id 2567942899 primary specialty NURSE PRACTITIONER secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state PA suffix — telehealth Y telephone number 8886689087 zip code 19422 Source: CMS medicare providers · document cms-medicare/
Pennsylvania	1730721820	NURSE PRACTITIONER	—	Unknown
address id PA19422XXXXBLXXXXXXXXXX00 address line 1 — address line 2 — address line 2 suppressed — city BLUE BELL credential — facility name VITALITY CONSULTANTS LLC first name TRACE gender M graduation year 2019 group accepts assignment Y individual accepts assignment Y individual enrollment id I20260416002996 individual pac id 9436584828 last name OWENS medical school OTHER middle name — npi 1730721820 num organization members 2 organization pac id 2567942899 primary specialty NURSE PRACTITIONER secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state PA suffix — telehealth — telephone number 8886689087 zip code 19422 Source: CMS medicare providers · document cms-medicare/
Kansas	1730721820	NURSE PRACTITIONER	—	Unknown
address id KS66604XXXXTOXXXXXXXXXX00 address line 1 — address line 2 — address line 2 suppressed — city TOPEKA credential — facility name VITALITY CONSULTANTS LLC first name TRACE gender M graduation year 2019 group accepts assignment Y individual accepts assignment Y individual enrollment id I20260409002767 individual pac id 9436584828 last name OWENS medical school OTHER middle name — npi 1730721820 num organization members 2 organization pac id 2567942899 primary specialty NURSE PRACTITIONER secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state KS suffix — telehealth — telephone number 8886689087 zip code 66604 Source: CMS medicare providers · document cms-medicare/

State

License / ID

Type

Issued

Status

—

1497644124

Medicare / NPI provider

06/30/2025

Unknown

credential

—

deactivation date

—

entity type code

enumeration date

06/30/2025

first name

—

last name

—

last update date

04/15/2026

mailing address 1

3540 TORINGDON WAY STE 200

mailing address 2

—

mailing city

CHARLOTTE

mailing country

mailing postal code

282774650

mailing state

middle name

—

npi

1497644124

organization name

VITALITY CONSULTANTS LLC

practice address 1

3540 TORINGDON WAY STE 200

practice city

CHARLOTTE

practice postal code

282774650

practice state

reactivation date

—

taxonomy code 1

207PE0004X

Source: NPI registry · document npi/

Florida

1033585286

NURSE PRACTITIONER

—

Unknown

address id

FL33132XXXXMIXXXXXXXXXX00

address line 1

—

address line 2

—

address line 2 suppressed

—

city

MIAMI

credential

facility name

VITALITY CONSULTANTS LLC

first name

DEIDRA

gender

graduation year

2018

group accepts assignment

individual accepts assignment

individual enrollment id

I20260219001142

individual pac id

7618260647

last name

THOMPSON

medical school

OTHER

middle name

—

npi

1033585286

num organization members

organization pac id

2567942899

primary specialty

NURSE PRACTITIONER

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

telephone number

8886689087

zip code

33132

Source: CMS medicare providers · document cms-medicare/

Michigan

1730721820

NURSE PRACTITIONER

—

Unknown

address id

MI48202XXXXDEXXXXXXXXXX00

address line 1

—

address line 2

—

address line 2 suppressed

—

city

DETROIT

credential

—

facility name

VITALITY CONSULTANTS LLC

first name

TRACE

gender

graduation year

2019

group accepts assignment

individual accepts assignment

individual enrollment id

I20260424000996

individual pac id

9436584828

last name

OWENS

medical school

OTHER

middle name

—

npi

1730721820

num organization members

organization pac id

2567942899

primary specialty

NURSE PRACTITIONER

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

—

telephone number

8886689087

zip code

48202

Source: CMS medicare providers · document cms-medicare/

Pennsylvania

1033585286

NURSE PRACTITIONER

—

Unknown

address id

PA19422XXXXBLXXXXXXXXXX00

address line 1

—

address line 2

—

address line 2 suppressed

—

city

BLUE BELL

credential

facility name

VITALITY CONSULTANTS LLC

first name

DEIDRA

gender

graduation year

2018

group accepts assignment

individual accepts assignment

individual enrollment id

I20220616001421

individual pac id

7618260647

last name

THOMPSON

medical school

OTHER

middle name

—

npi

1033585286

num organization members

organization pac id

2567942899

primary specialty

NURSE PRACTITIONER

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

telephone number

8886689087

zip code

19422

Source: CMS medicare providers · document cms-medicare/

Pennsylvania

1730721820

NURSE PRACTITIONER

—

Unknown

address id

PA19422XXXXBLXXXXXXXXXX00

address line 1

—

address line 2

—

address line 2 suppressed

—

city

BLUE BELL

credential

—

facility name

VITALITY CONSULTANTS LLC

first name

TRACE

gender

graduation year

2019

group accepts assignment

individual accepts assignment

individual enrollment id

I20260416002996

individual pac id

9436584828

last name

OWENS

medical school

OTHER

middle name

—

npi

1730721820

num organization members

organization pac id

2567942899

primary specialty

NURSE PRACTITIONER

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

—

telephone number

8886689087

zip code

19422

Source: CMS medicare providers · document cms-medicare/

Kansas

1730721820

NURSE PRACTITIONER

—

Unknown

address id

KS66604XXXXTOXXXXXXXXXX00

address line 1

—

address line 2

—

address line 2 suppressed

—

city

TOPEKA

credential

—

facility name

VITALITY CONSULTANTS LLC

first name

TRACE

gender

graduation year

2019

group accepts assignment

individual accepts assignment

individual enrollment id

I20260409002767

individual pac id

9436584828

last name

OWENS

medical school

OTHER

middle name

—

npi

1730721820

num organization members

organization pac id

2567942899

primary specialty

NURSE PRACTITIONER

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

—

telephone number

8886689087

zip code

66604

Source: CMS medicare providers · document cms-medicare/

Amount	Approved	Lender	Jobs	Status
$7,551	05/08/2020	Celtic Bank Corporation	1	Paid in Full
borrower address 526 47th Road borrower city Long Island City borrower name VITALITY CONSULTANTS LLC borrower state NY borrower zip 11101 business age description Existing or more than 2 years old business type Limited Liability Company(LLC) congressional district NY-07 current approval amount 7551 date approved 05/08/2020 debt interest proceed — ethnicity Hispanic or Latino forgiveness amount 7634.16 forgiveness date 06/22/2021 franchise name — gender Female Owned health care proceed — hubzone indicator N initial approval amount 7551 jobs reported 1 lmi indicator N loan number 4357467407 loan status Paid in Full loan status date 07/14/2021 mortgage interest proceed — naics code 812990 non profit — originating lender Celtic Bank Corporation originating lender city SALT LAKE CITY originating lender location id 223542 originating lender state UT payroll proceed 5663.25 processing method PPP project city Long Island City project county name QUEENS project state NY project zip 11101-0001 race Unanswered refinance eidl proceed — rent proceed — rural urban indicator U sba guaranty percentage 100 sba office code 0202 servicing lender address 268 S State St, Ste 300 servicing lender city SALT LAKE CITY servicing lender location id 223542 servicing lender name Celtic Bank Corporation servicing lender state UT servicing lender zip 84111-5314 term 24 undisbursed amount 0 utilities proceed 1887.75 veteran Non-Veteran Source: SBA PPP loans · document sba-ppp/4357467407
$7,419	04/21/2021	Celtic Bank Corporation	1	Paid in Full
borrower address 526 47th Rd borrower city Long Island City borrower name VITALITY CONSULTANTS LLC borrower state NY borrower zip 11101-5415 business age description Existing or more than 2 years old business type Limited Liability Company(LLC) congressional district NY-07 current approval amount 7419 date approved 04/21/2021 debt interest proceed — ethnicity Hispanic or Latino forgiveness amount 7448.07 forgiveness date 09/27/2021 franchise name — gender Female Owned health care proceed — hubzone indicator N initial approval amount 7419 jobs reported 1 lmi indicator N loan number 7172308801 loan status Paid in Full loan status date 10/20/2021 mortgage interest proceed — naics code 812990 non profit — originating lender Celtic Bank Corporation originating lender city SALT LAKE CITY originating lender location id 223542 originating lender state UT payroll proceed 7419 processing method PPS project city Long Island City project county name QUEENS project state NY project zip 11101-5415 race Unanswered refinance eidl proceed — rent proceed — rural urban indicator U sba guaranty percentage 100 sba office code 0202 servicing lender address 268 S State St, Ste 300 servicing lender city SALT LAKE CITY servicing lender location id 223542 servicing lender name Celtic Bank Corporation servicing lender state UT servicing lender zip 84111-5314 term 60 undisbursed amount 0 utilities proceed — veteran Non-Veteran Source: SBA PPP loans · document sba-ppp/7172308801

Amount

Approved

Lender

Jobs

Status

$7,551

05/08/2020

Celtic Bank Corporation

Paid in Full

borrower address

526 47th Road

borrower city

Long Island City

borrower name

VITALITY CONSULTANTS LLC

borrower state

borrower zip

11101

business age description

Existing or more than 2 years old

business type

Limited Liability Company(LLC)

congressional district

NY-07

current approval amount

7551

date approved

05/08/2020

debt interest proceed

—

ethnicity

Hispanic or Latino

forgiveness amount

7634.16

forgiveness date

06/22/2021

franchise name

—

gender

Female Owned

health care proceed

—

hubzone indicator

initial approval amount

7551

jobs reported

lmi indicator

loan number

4357467407

loan status

Paid in Full

loan status date

07/14/2021

mortgage interest proceed

—

naics code

812990

non profit

—

originating lender

Celtic Bank Corporation

originating lender city

SALT LAKE CITY

originating lender location id

223542

originating lender state

payroll proceed

5663.25

processing method

PPP

project city

Long Island City

project county name

QUEENS

project state

project zip

11101-0001

race

Unanswered

refinance eidl proceed

—

rent proceed

—

rural urban indicator

sba guaranty percentage

100

sba office code

0202

servicing lender address

268 S State St, Ste 300

servicing lender city

SALT LAKE CITY

servicing lender location id

223542

servicing lender name

Celtic Bank Corporation

servicing lender state

servicing lender zip

84111-5314

term

undisbursed amount

utilities proceed

1887.75

veteran

Non-Veteran

Source: SBA PPP loans · document sba-ppp/4357467407

$7,419

04/21/2021

Celtic Bank Corporation

Paid in Full

borrower address

526 47th Rd

borrower city

Long Island City

borrower name

VITALITY CONSULTANTS LLC

borrower state

borrower zip

11101-5415

business age description

Existing or more than 2 years old

business type

Limited Liability Company(LLC)

congressional district

NY-07

current approval amount

7419

date approved

04/21/2021

debt interest proceed

—

ethnicity

Hispanic or Latino

forgiveness amount

7448.07

forgiveness date

09/27/2021

franchise name

—

gender

Female Owned

health care proceed

—

hubzone indicator

initial approval amount

7419

jobs reported

lmi indicator

loan number

7172308801

loan status

Paid in Full

loan status date

10/20/2021

mortgage interest proceed

—

naics code

812990

non profit

—

originating lender

Celtic Bank Corporation

originating lender city

SALT LAKE CITY

originating lender location id

223542

originating lender state

payroll proceed

7419

processing method

PPS

project city

Long Island City

project county name

QUEENS

project state

project zip

11101-5415

race

Unanswered

refinance eidl proceed

—

rent proceed

—

rural urban indicator

sba guaranty percentage

100

sba office code

0202

servicing lender address

268 S State St, Ste 300

servicing lender city

SALT LAKE CITY

servicing lender location id

223542

servicing lender name

Celtic Bank Corporation

servicing lender state

servicing lender zip

84111-5314

term

undisbursed amount

utilities proceed

—

veteran

Non-Veteran

Source: SBA PPP loans · document sba-ppp/7172308801

VITALITY CONSULTANTS LLC

Contacts

Financials

Industry

Secretary of State Filings

Liens

Permits

Licenses & authorities

Loans

H-1B

E-Verify

Copyrights

FEC

Customs

401(k)

SEC

Court cases

Frequently asked questions

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