NPIMap

Organization Active NPI

Healing Grounds Wellness Center, LLC

  • Clinical Social Worker
  • Columbus, NJ
National Provider Identifier
1013686997
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEALING GROUNDS WELLNESS CENTER, LLC
Practice address
12 Kelly Dr
Columbus, NJ 08022-2330
Phone
(609) 431-0600
NPI assigned
Sep 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Zachyra Scott-Rodriguez, LCSW, CCATPNPI 1134776354
Title
Owner
Phone
(609) 431-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

12 Kelly Dr
Columbus, NJ 08022-2330

Mailing address

12 Kelly Dr
Columbus, NJ 08022-2330
Phone (609) 431-0600

Other names 1

  • Healing Grounds Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1013686997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 KELLY DR",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080222330",
            "telephone_number": "609-431-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 KELLY DR",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080222330",
            "telephone_number": "609-431-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING GROUNDS WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "SCOTT-RODRIGUEZ",
        "authorized_official_first_name": "ZACHYRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-431-0600",
        "authorized_official_credential": "LCSW, CCATP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Grounds",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.