Organization Active NPI

Wellness Haven LLC

Doing business as Wellness Haven

  • Health & Wellness Coach
  • Carmel, IN
National Provider Identifier
1033938220
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
WELLNESS HAVEN LLC
Doing business as
Wellness Haven
Practice address
1402 Edinburgh Dr
Carmel, IN 46033-8682
Phone
(317) 429-7415
NPI assigned
Oct 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Lisa McKown
Title
Business Owner
Phone
(317) 429-7415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary

Addresses

Primary practice location

1402 Edinburgh Dr
Carmel, IN 46033-8682

Mailing address

1402 Edinburgh Dr
Carmel, IN 46033-8682
Phone (317) 429-7415

Other names 1

  • Wellness Haven 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": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1033938220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 EDINBURGH DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338682",
            "telephone_number": "317-429-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 EDINBURGH DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338682",
            "telephone_number": "317-429-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-06",
        "status": "A",
        "authorized_official_last_name": "MCKOWN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "317-429-7415"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.