Wellness Made Whole Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WELLNESS MADE WHOLE INC

Practice address

1175 Lily Cache LN
Bolingbrook, IL 60490-3122

Phone

(815) 290-9048

NPI assigned

Jan 31, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Kiyana Jackson, LCPCNPI 1528414976

Title

Owner

Phone

(708) 997-1301

Specialties & licenses 1

Addresses

Other names 1

• Counseling is Kiy Doing business as

Locations

Practitioners 1

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

• Kiyana Jackson, LCPC

  • Professional Counselor
  • Bolingbrook, IL
  • NPI 1528414976
  NPD (past) Authorized official

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1154886455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 LILY CACHE LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604903122",
            "telephone_number": "815-290-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 LILY CACHE LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604903122",
            "telephone_number": "815-290-9048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 S Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605405485",
            "country_code": "US",
            "telephone_number": "815-290-9048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNESS MADE WHOLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KIYANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-997-1301",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling is Kiy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy L Watt, PT
• Mankawalpreet Wazir
• Cassandra Lynn Wegner, LCPC, CADC
• Lauren Len Weigle
• Hilary Wellman, D.C.
• Lirlije Wells, RDH
• Jessica Weniger, PA
• Gail Maureen West Hooper, LCSW
• West Suburban Eye Center, S.C.
• Susan Wexler, N.P.

• Professional Counselor in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.