Active NPI
Integrations Wellness & Recovery Center, LLC
- Community/Behavioral Health Agency
- Hutchinson, MN
National Provider Identifier
1053603167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- INTEGRATIONS WELLNESS & RECOVERY CENTER, LLC
- Practice address
- 1135 Highway 7 W
Hutchinson, MN 55350-1511 - Phone
- (320) 434-1312
- Fax
- (651) 925-0087
- NPI assigned
- May 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jill M Decker, MS, LPCC
- Title
- Coo, Treatment Direct, Ms, LPCC
- Phone
- (320) 434-1312
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
1135 Highway 7 W
Hutchinson, MN 55350-1511
Mailing address
PO Box 683
Hutchinson, MN 55350-0683
Phone (320) 434-1312
Other practice location 1
504 E Highland Park Dr NE
Hutchinson, MN 55350-9774
Phone (320) 434-1312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
504 E Highland Park Dr NE
Hutchinson, MN 55350
Phone (320) 434-1312
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Hutchinson, MN
- NPI 1629282645
-
- Counseling Psychologist
- Hutchinson, MN
- NPI 1215141304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722211200000",
"number": "1053603167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 683",
"city": "HUTCHINSON",
"state": "MN",
"postal_code": "553500683",
"telephone_number": "320-434-1312",
"fax_number": "651-925-0087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 HIGHWAY 7 W",
"city": "HUTCHINSON",
"state": "MN",
"postal_code": "553501511",
"telephone_number": "320-434-1312",
"fax_number": "651-925-0087"
}
],
"practiceLocations": [
{
"address_1": "504 E Highland Park Dr NE",
"address_purpose": "LOCATION",
"city": "Hutchinson",
"state": "MN",
"postal_code": "553509774",
"country_code": "US",
"telephone_number": "320-434-1312",
"fax_number": "888-509-0698",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INTEGRATIONS WELLNESS & RECOVERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-08",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A",
"authorized_official_last_name": "DECKER",
"authorized_official_first_name": "JILL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "COO, TREATMENT DIRECT, MS, LPCC",
"authorized_official_telephone_number": "320-434-1312",
"authorized_official_credential": "MS, LPCC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hutchinson, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.