Organization Active NPI

Healing & Wellness Arts, PLLC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1033684253
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEALING & WELLNESS ARTS, PLLC
Practice address
455 E Eisenhower Pkwy Ste 300
Ann Arbor, MI 48108-3324
Phone
(734) 545-8181
NPI assigned
Oct 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Viripun Gift Chowchuvech, LMSW
Title
Owner
Phone
(734) 228-0088

Specialties & licenses 1

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

Addresses

Primary practice location

455 E Eisenhower Pkwy Ste 300
Ann Arbor, MI 48108-3324

Mailing address

455 E Eisenhower Pkwy Ste 300
Ann Arbor, MI 48108-3324
Phone (734) 545-8181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181206001495 MI Part B Supplier - Clinic/Group Practice 5395089056 Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Locations

2100 S Main St
Ste B
Ann Arbor, MI 48103
Phone (734) 228-0088

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1033684253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E EISENHOWER PKWY STE 300",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083324",
            "telephone_number": "734-545-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E EISENHOWER PKWY STE 300",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083324",
            "telephone_number": "734-545-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING & WELLNESS ARTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "CHOWCHUVECH",
        "authorized_official_first_name": "VIRIPUN",
        "authorized_official_middle_name": "GIFT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-228-0088",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

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