Active NPI
Front Lines Wellness QC LLC
- Mental Health Counselor
- Moline, IL
National Provider Identifier
1144875220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2025
- 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
- Christina M Wassenhove, LMHC
- Title
- Licensed Mental Health Counselor
- Phone
- (563) 265-1203
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.