Active NPI
Wellness Institute LLC
- Professional Counselor
- Lake Ozark, MO
National Provider Identifier
1124632492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- WELLNESS INSTITUTE LLC
- Practice address
- 752 Bagnell Dam Blvd Ste B
Lake Ozark, MO 65049-8716 - Phone
- (573) 693-1119
- Fax
- (573) 557-4163
- NPI assigned
- Sep 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cibele F C Elliott, MED. / LPC/ EMDR
- Title
- Clinical Therapist
- Phone
- (573) 480-3501
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
752 Bagnell Dam Blvd Ste B
Lake Ozark, MO 65049-8716
Mailing address
752 Bagnell Dam Blvd Ste B
Lake Ozark, MO 65049-8716
Phone (573) 693-1119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1111582 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
752 Bagnell Dam Blvd
Ste B
Lake Ozark, MO 65049
Phone (573) 693-1119
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Lake Ozark, MO
- NPI 1053750869
-
- Clinical Social Worker
- Sunrise Beach, MO
- NPI 1326526542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781827200000",
"number": "1124632492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "752 BAGNELL DAM BLVD STE B",
"city": "LAKE OZARK",
"state": "MO",
"postal_code": "650498716",
"telephone_number": "573-693-1119",
"fax_number": "573-557-4163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "752 BAGNELL DAM BLVD STE B",
"city": "LAKE OZARK",
"state": "MO",
"postal_code": "650498716",
"telephone_number": "573-693-1119",
"fax_number": "573-557-4163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS INSTITUTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-03",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A",
"authorized_official_last_name": "ELLIOTT",
"authorized_official_first_name": "CIBELE",
"authorized_official_middle_name": "F C",
"authorized_official_title_or_position": "CLINICAL THERAPIST",
"authorized_official_telephone_number": "573-480-3501",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MED. / LPC/ EMDR"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1111582",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Ozark, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.