Organization Active NPI

Integrations Wellness & Recovery Center, LLC

  • Community/Behavioral Health Agency
  • Hutchinson, MN
National Provider Identifier
1053603167
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Jill M Decker, MS, LPCCNPI 1629282645
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20240919003444 MN Part B Supplier - Clinic/Group Practice 6204377096 Receives reassigned benefits from 2 practitioners
Practice locations: Hutchinson, MN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.