Sedalia Wellness Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2004033738 Issued in MO

Legal business name

SEDALIA WELLNESS CENTER, LLC

Practice address

1721 S Ingram Ave
Sedalia, MO 65301-7535

Phone

(660) 827-9875

Fax

(660) 827-9879

NPI assigned

Feb 5, 2014

Organization subpart

No

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

Authorized official

Name

Tara Michelle Brown, LCSW

Title

Owner

Phone

(573) 268-4419

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tara Michelle Parkhurst, LCSW

  • Clinical Social Worker
  • Sedalia, MO
  • NPI 1427090380
  Medicare reassignment NPD
• Jeanette L Buckland-Graham, M.S.,PLPC

  • Mental Health Counselor
  • Sedalia, MO
  • NPI 1245553262
  NPD (past)
• Capri Angelic Taylor, MA,LPC, LMHC, SAP

  • Professional Counselor
  • Sedalia, MO
  • NPI 1700162286
  NPD (past)

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1063836484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 S INGRAM AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653017535",
            "telephone_number": "573-268-4419",
            "fax_number": "660-827-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 S INGRAM AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653017535",
            "telephone_number": "660-827-9875",
            "fax_number": "660-827-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDALIA WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-268-4419",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004033738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sedalia Nursing Home Co (Fair View Nursing Home)
• Sedalia Optometric Clinic, Inc
• Sedalia Surgery Center, LLC
• Sedalia Urgent Care LLC (AFC Urgent Care)
• Sedalia Urgent Care LLC (American Family Care)
• Amie Michelle Seitz, DNP, APRN, FNP-BC
• Select Physical Therapy Holdings Inc (Select Physical Therapy)
• Serc Rehabilitation Partners LLC (SERC - Sedalia, MO)
• Jennifer Sevier, BC PNP
• Assad U. Shaffiey, M.D.

• Clinical Social Worker in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.