Active NPI
Innovative Wellness Consulting
- Community/Behavioral Health Agency
- Long Beach, CA
National Provider Identifier
1184484438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- INNOVATIVE WELLNESS CONSULTING
- Practice address
- 525 E 7TH St
Long Beach, CA 90813-4559 - Phone
- (323) 924-9084
- NPI assigned
- Mar 21, 2024
- 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
- Nakeya Fields
- Title
- Founder
- Phone
- (213) 394-5889
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Health & Wellness Coach | 171400000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Early Intervention Provider Agency | 252Y00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Doula | 374J00000X |
Addresses
Primary practice location
525 E 7TH St
Long Beach, CA 90813-4559
Mailing address
236 W Mountain St Ste 103
Pasadena, CA 91103-2968
Phone (213) 394-5889
National Provider Directory
National Provider Directory- Tax ID family
- Innovative Wellness Consulting
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1093561383
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1346096328
-
- Public Health or Welfare Agency
- Los Angeles, CA
- NPI 1053068783
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1235012709
-
- Clinical Social Worker
- Los Angeles, CA
- NPI 1811706369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714089600000",
"number": "1184484438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 W MOUNTAIN ST STE 103",
"city": "PASADENA",
"state": "CA",
"postal_code": "911032968",
"telephone_number": "213-394-5889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E 7TH ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908134559",
"telephone_number": "323-924-9084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE WELLNESS CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-21",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A",
"authorized_official_last_name": "FIELDS",
"authorized_official_first_name": "NAKEYA",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "213-394-5889"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.