Organization Active NPI

Front Lines Wellness QC LLC

  • Mental Health Counselor
  • Moline, IL
National Provider Identifier
1144875220
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FRONT LINES WELLNESS QC LLC
Practice address
5128 21St Ave
Moline, IL 61265-3674
Phone
(563) 265-1203
NPI assigned
Aug 6, 2019
Last updated
Mar 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Christina M Wassenhove, LMHC
Title
Licensed Mental Health Counselor
Phone
(563) 265-1203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

5128 21St Ave
Moline, IL 61265-3674

Mailing address

5128 21St Ave
Moline, IL 61265-3674
Phone (563) 265-1203

National Provider Directory

National Provider Directory

Locations

601 Brady St
Ste 206
Davenport, IA 52803

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1144875220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 21ST AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653674",
            "telephone_number": "563-265-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5128 21ST AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653674",
            "telephone_number": "563-265-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT LINES WELLNESS QC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "WASSENHOVE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "563-265-1203",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.