Wellness Centrum Family Counseling Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WELLNESS CENTRUM FAMILY COUNSELING INC.

Practice address

3310 Churn Creeek Road
Suite a
Redding, CA 96002-9600

Phone

(530) 721-2255

Fax

(530) 605-3221

NPI assigned

Jan 11, 2023

Organization subpart

Yes

Parent organization

WELLNESS CENTRUM FAMILY COUNSELING INC.As reported in NPPES

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

Authorized official

Name

Mrs. Ursula Dorota Antonik-Buxton, LMFTNPI 1134323207

Title

Manager

Phone

(530) 721-2255

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Part of

Wellness Centrum Family Counseling Inc

Locations

Practitioners 1

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

• Ursula Dorota Antonik-Buxton, M.F.T.

  • Marriage & Family Therapist
  • Redding, CA
  • NPI 1134323207

  AL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1184338378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842",
            "city": "BELLA VISTA",
            "state": "CA",
            "postal_code": "960080842",
            "telephone_number": "530-721-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 CHURN CREEEK ROAD",
            "address_2": "SUITE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960029600",
            "telephone_number": "530-721-2255",
            "fax_number": "530-605-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CENTRUM FAMILY COUNSELING INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLNESS CENTRUM FAMILY COUNSELING INC.",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "ANTONIK-BUXTON",
        "authorized_official_first_name": "URSULA",
        "authorized_official_middle_name": "DOROTA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "530-721-2255",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ursulab@wellnesscentrum.us",
            "affiliation": "N",
            "address_1": "3310 CHURN CREEEK ROAD",
            "address_2": "SUITE A",
            "city": "REDDING",
            "state": "CA",
            "country_code": "US",
            "postal_code": "960029600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth M Weinberg, ARNP
• Brandon Weinstock, MS, RN, PMHNP-BC
• Keri L Weinstock, CNP
• Florentina Welch
• Jeremy Mason Wellman, PA-C
• Wellness Family Medicine, PC
• Jesse A Wells, MD
• Kendra Christine Wells
• Ryla Jean Wells
• Wellscript, Inc.

• Community/Behavioral Health Agency in Redding, CA
• Providers in Redding, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.

Verify at the official NPI Registry.