Optimum Wellness Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC009388 Issued in PA

Legal business name

OPTIMUM WELLNESS COUNSELING, LLC

Practice address

10585 Farview Dr
Irwin, PA 15642-9761

Phone

(724) 972-9090

NPI assigned

Jun 27, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brandon Michael Ricker, MS, LPC, NCC

Title

Owner/ Therapist

Phone

(724) 972-9090

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498521600000",
    "number": "1003337346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 SPEER ST",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150121459",
            "telephone_number": "724-972-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10585 FARVIEW DR",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156429761",
            "telephone_number": "724-972-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM WELLNESS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A",
        "authorized_official_last_name": "RICKER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "724-972-9090",
        "authorized_official_credential": "MS, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC009388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asianah Ocasio-Schultz
• Cristi Ofchinick
• Mikayla Oliverio
• Jessie Olson
• Carrie Onuffer
• Gregg Cheatham Orr, CRNP
• Adrienne Ort
• Abigail Osei-Owusu
• Elaine Otano
• Anna Oven

• Mental Health Counselor in Irwin, PA
• Providers in Irwin, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.