Organization Active NPI

Collaborative Wellness Partners LLC

Doing business as Collaborative Wellness Partners

  • Psychiatric/Mental Health Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1023606647
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
COLLABORATIVE WELLNESS PARTNERS LLC
Doing business as
Collaborative Wellness Partners
Practice address
3253 N Bend Rd
Cincinnati, OH 45239-7610
Phone
(513) 469-1129
Fax
(513) 880-0657
NPI assigned
Jan 8, 2021
Last updated
Nov 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Authorized official

Name
Mrs. Angela Marie Strotman, APRN-CNP, PMHNP-BCNPI 1417518226
Title
Owner and Provider
Phone
(513) 496-1129

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

3253 N Bend Rd
Cincinnati, OH 45239-7610

Mailing address

3253 N Bend Rd
Cincinnati, OH 45239-7610
Phone (513) 469-1129

Other names 1

  • Collaborative Wellness Partners Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210201002310 OH Part B Supplier - Clinic/Group Practice 1254745334 Receives reassigned benefits from 11 practitioners
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Locations

3253 North Bend Rd
Cincinnati, OH 45239
Phone (513) 496-1129

Practitioners & affiliated clinicians

Practitioners 11

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": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1023606647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3253 N BEND RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452397610",
            "telephone_number": "513-469-1129",
            "fax_number": "513-880-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3253 N BEND RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452397610",
            "telephone_number": "513-469-1129",
            "fax_number": "513-880-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE WELLNESS PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "STROTMAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "513-496-1129",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN-CNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collaborative Wellness Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Collaborative Wellness Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.