The Village Family Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE VILLAGE FAMILY WELLNESS

Practice address

2659 County Road 350 E
Mahomet, IL 61853-9797

Phone

(217) 372-4157

NPI assigned

Jun 25, 2021

Last updated

Jun 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca Ann Richards, LCSWNPI 1326553363

Title

Owner

Phone

(217) 372-4157

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca Richards, MSW

  • Social Worker
  • Mahomet, IL
  • NPI 1326553363

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1013587815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 W MARKETVIEW DR.",
            "address_2": "SUITE 10 BOX 314",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "61822",
            "telephone_number": "217-372-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 COUNTY ROAD 350 E",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618539797",
            "telephone_number": "217-372-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE FAMILY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-372-4157",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Sutton, COTA
• Kaitlyn Ann Taylor-Johnson, LCSW
• Dawn Marie Taylor, LSW
• Dianne M Tennant Rucker, OTRL
• The Mindful Path Counseling
• Allison Kay Thomas, IBCLC
• Kendra Lynn Thomas, RPH
• Spencer Evan Threw, D.O.
• Valerie Woodruff DDS PC
• Tessa Valeu, LSW

• Clinical Social Worker in Mahomet, IL
• Providers in Mahomet, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.