Organization Active NPI

Wellness Work Counseling Service PLLC

  • Adult Mental Health Clinic/Center
  • Cedar Park, TX
National Provider Identifier
1053911776
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
WELLNESS WORK COUNSELING SERVICE PLLC
Practice address
3016 Polar LN Ste 207
Cedar Park, TX 78613-3039
Phone
(512) 575-4671
NPI assigned
Oct 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Cartelia T Kennedy, LPC, NCCNPI 1346775822
Title
Owner, Manager
Phone
(512) 575-4671

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
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

3016 Polar LN Ste 207
Cedar Park, TX 78613-3039

Mailing address

3016 Polar LN Ste 207
Cedar Park, TX 78613-3039
Phone (512) 575-4671

National Provider Directory

National Provider Directory

Locations

3016 Polar Ln
Ste 207
Cedar Park, TX 78613
Phone (512) 575-4671

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": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1053911776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 POLAR LN STE 207",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133039",
            "telephone_number": "512-575-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 POLAR LN STE 207",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133039",
            "telephone_number": "512-575-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WORK COUNSELING SERVICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "CARTELIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "512-575-4671",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.