NPIMap

Organization Active NPI

Mental Health & Wellness Clinic, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ainsworth, NE
National Provider Identifier
1013693506
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MENTAL HEALTH & WELLNESS CLINIC, LLC
Practice address
843 E 4TH St Ste a
Ainsworth, NE 69210-1207
Phone
(402) 389-0040
NPI assigned
Jun 27, 2023
Last updated
Jan 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Konni Kluender, APRN-NPNPI 1982046363
Title
Owner
Phone
(402) 389-0040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

843 E 4TH St Ste a
Ainsworth, NE 69210-1207

Mailing address

113 Whispering Pines LN
Valentine, NE 69201-1600
Phone (402) 389-0040

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1013693506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WHISPERING PINES LN",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "692011600",
            "telephone_number": "402-389-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 E 4TH ST STE A",
            "city": "AINSWORTH",
            "state": "NE",
            "postal_code": "692101207",
            "telephone_number": "402-389-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH & WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "KLUENDER",
        "authorized_official_first_name": "KONNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-389-0040",
        "authorized_official_credential": "APRN-NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ainsworth, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.