Innovative Wellness Consulting

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INNOVATIVE WELLNESS CONSULTING

Practice address

5214 S Western Ave
Los Angeles, CA 90062-2701

Phone

(213) 394-5889

NPI assigned

Apr 26, 2024

Last updated

Apr 29, 2024By 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

Nakeya Fields

Title

Executive Director

Phone

(213) 394-5889

Specialties & licenses 10

Addresses

Tax ID family

Innovative Wellness Consulting6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

• Innovative Wellness Consulting

  • Community/Behavioral Health Agency
  • Long Beach, CA
  • NPI 1184484438
  NPD tax ID
• Innovative Wellness Consulting

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1346096328
  NPD tax ID
• Nakeya Fields Licensed Clinical Social Worker PC

  dba Innovative Wellness Consulting

  • Public Health or Welfare Agency
  • Los Angeles, CA
  • NPI 1053068783
  NPD tax ID
• Nakeya Fields Licensed Clinical Social Worker PC

  dba Innovative Wellness Consulting

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1235012709
  NPD tax ID
• Nakeya Fields Licensed Clinical Social Worker PC

  dba Innovative Wellness Consulting

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1811706369
  NPD tax ID

Locations

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1093561383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W MOUNTAIN ST STE 103",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911032968",
            "telephone_number": "213-394-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900622701",
            "telephone_number": "213-394-5889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1955 W Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900183413",
            "country_code": "US",
            "telephone_number": "213-394-5889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNOVATIVE WELLNESS CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "NAKEYA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "213-394-5889"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative Dialysis Center of West Los Angeles, LLC (U.S. Renal Care la Cienega Home Dialysis)
• Innovative Gastroenterology Professional Corporation
• Innovative Medicine
• Innovative Orthopedic Medical Solutions
• Innovative Rehab. Inc
• Innovative Wellness Consulting
• Catarina Inoue-Perrin
• Derek Tsutomu Inouye, DO
• Jon Eric Inouye, LCSW
• Melanie Eri Inouye

• Community/Behavioral Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.