Organization Active NPI

The Wellness Workshop, LLC

  • Community/Behavioral Health Agency
  • Rantoul, IL
National Provider Identifier
1154724102
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
180.009234 Issued in IL
Legal business name
THE WELLNESS WORKSHOP, LLC
Practice address
214 S Garrard St
Rantoul, IL 61866-2317
Phone
(217) 299-3418
NPI assigned
Oct 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Authorized official

Name
Stephanie Ann Beard, LCPCNPI 1457750085
Title
Owner
Phone
(217) 299-3418

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 180.009234 IL Primary

Addresses

Primary practice location

214 S Garrard St
Rantoul, IL 61866-2317

Mailing address

214 S Garrard St
Rantoul, IL 61866-2317
Phone (217) 299-3418

Other practice location 1

130 E Sangamon Ave
Rantoul, IL 61866-2324
Phone (217) 299-3418

National Provider Directory

National Provider Directory

Locations

130 E Sangamon Ave
Rantoul, IL 61866
Phone (217) 299-3418

214 S Garrard St
Rantoul, IL 61866
Phone (217) 299-3418

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1154724102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S GARRARD ST",
            "city": "RANTOUL",
            "state": "IL",
            "postal_code": "618662317",
            "telephone_number": "217-299-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S GARRARD ST",
            "city": "RANTOUL",
            "state": "IL",
            "postal_code": "618662317",
            "telephone_number": "217-299-3418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 E Sangamon Ave",
            "address_purpose": "LOCATION",
            "city": "Rantoul",
            "state": "IL",
            "postal_code": "618662324",
            "country_code": "US",
            "telephone_number": "217-299-3418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE WELLNESS WORKSHOP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-299-3418",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180.009234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rantoul, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.