Wellness Within Holistic Psychotherapy, PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WELLNESS WITHIN HOLISTIC PSYCHOTHERAPY, PA

Practice address

3960 Saari Rd
Hibbing, MN 55746-8280

Phone

(562) 882-6511

NPI assigned

Nov 4, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Francy Lynn Jenko, DSW, MSW, LICSWNPI 1265667646

Title

Ceo

Phone

(562) 882-6511

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Francy Lynn Jenko, DSW, MSW, LICSW

  • Clinical Social Worker
  • Virginia, MN
  • NPI 1265667646

  Clinical, MN

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1003417262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 SAARI RD",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557468280",
            "telephone_number": "562-882-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 SAARI RD",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557468280",
            "telephone_number": "562-882-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WITHIN HOLISTIC PSYCHOTHERAPY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "JENKO",
        "authorized_official_first_name": "FRANCY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-882-6511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1265667646",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "francy@wellnesswithinpsychotherapy.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3960 Saari Rd",
            "city": "Hibbing",
            "state": "MN",
            "country_code": "US",
            "postal_code": "557468280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gwen Geneen Washburn, MS, CCC-A
• Donald E. Wasilensky, D.C.
• Roger D Weber
• Karen Webster, DNP, PMHNP-BC
• Wecare Rides LLC
• Hannah Wentland
• Nicole Larae Wentland, RN
• Darla Wheatman
• Collene Elizabeth Wheeler, LGSW
• Melissa Pearl Wherland, PT

• All providers in Hibbing, MN
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.