Ardent Community Wellnes Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ARDENT COMMUNITY WELLNES CENTER

Practice address

503 E Jefferson Ave
Fairfield, IA 52556-3144

Phone

(630) 473-3091

NPI assigned

Aug 14, 2014

Last updated

Aug 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Baynes

Title

Executive Director

Phone

(630) 473-3091

Specialties & licenses 5

Addresses

Tax ID family

Ardent Community Wellnes Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ardent Community Wellness Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1477952562
  NPD tax ID

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1093114191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 S BARRINGTON RD",
            "address_2": "SUITE 112",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601071841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E JEFFERSON AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563144",
            "telephone_number": "630-473-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDENT COMMUNITY WELLNES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "BAYNES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "630-473-3091"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aegis Therapies
• Julie L Aeschliman, P.T.
• Samantha Agan, LISW
• American Eyecare PC
• Maxwell Anderson, DC
• Nicholas Arensdorf, RD, LD
• Arhc Sffldia01 TRS, LLC (Addington Place of Fairfield)
• Evan Arnold, OT
• Ascent Pharmacy of Iowa (Summit Pharmacy)
• Songul Atay, MD

• Community/Behavioral Health Agency in Fairfield, IA
• Providers in Fairfield, IA by specialty
• Community/Behavioral Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.