Integrative Health and Wellness, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1411076 Issued in MN

Legal business name

INTEGRATIVE HEALTH AND WELLNESS, INC.

Practice address

819 Paul Bunyan Drive S
Bemidji, MN 56601

Phone

(218) 407-1008

NPI assigned

Mar 24, 2010

Organization subpart

No

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

Authorized official

Name

Jodi Anderson, MSW, LICWNPI 1588803274

Title

Owner

Phone

(218) 407-1008

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jodi Anderson, MSW, LICSW

  • Clinical Social Worker
  • Bemidji, MN
  • NPI 1588803274
  NPD (past) Authorized official

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1093039786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "56619",
            "telephone_number": "218-407-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 PAUL BUNYAN DRIVE S",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "56601",
            "telephone_number": "218-407-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH AND WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-407-1008",
        "authorized_official_credential": "MSW, LICW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1411076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Leigh Iceman
• Colbi Ryan Ikola, LPCC
• Independent School District #31
• Keelyn Marie Ingmire, EDS, NCSP
• Trina Ingmire, M.A. CCC-SLP
• Kathleen Mary Irwin, PSY.D.
• Elena Ivanova, DO
• Iverson Corner Drug Inc
• Iverson Corner Drug Inc
• Baley Lynn Iverson, PHARMD

• Community/Behavioral Health Agency in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.