Be Well Therapy, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BE WELL THERAPY, INC.

Practice address

850 E Grand Ave Ste 4a
Lake Villa, IL 60046-7885

Phone

(224) 358-1268

NPI assigned

Aug 5, 2019

Last updated

Aug 5, 2019By 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

Kelley D Martin, LCSW

Title

Owner

Phone

(224) 385-1268

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1114572484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 E GRAND AVE STE 4A",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600467885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E GRAND AVE STE 4A",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600467885",
            "telephone_number": "224-358-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE WELL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-385-1268",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Najmulsahar A Baig, ENDT
• Rasheed Mirza Baig
• Kendall Barber, PT, DPT
• Janet S Barney, APNP
• Jennifer Barry, RBT-17-45944
• Teresa Marie Beckman, PT
• Brenda L Beitzel, OT
• Laura Ann Benton, PSY.D.
• Carol Bettendorf, PT
• Maral Binnebose, MSW

• Community/Behavioral Health Agency in Lake Villa, IL
• Providers in Lake Villa, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.