Ascent Wellness, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ASCENT WELLNESS, LLC

Practice address

25660 3Rd St W Apt 214
Zimmerman, MN 55398-4587

Phone

(320) 496-3835

NPI assigned

Dec 29, 2021

Last updated

Dec 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deanna Faye Williams, LICSWNPI 1912663733

Title

Owner

Phone

(320) 496-3835

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deanna Faye Williams, LICSW

  • Clinical Social Worker
  • Zimmerman, MN
  • NPI 1912663733
  NPD Authorized official

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1194485326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25660 3RD ST W APT 214",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553984587",
            "telephone_number": "320-496-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25660 3RD ST W APT 214",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553984587",
            "telephone_number": "320-496-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENT WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-496-3835",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Paul C Allegra, MD
• Holly Altenhofen
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• Valerie Ann Anderson, R.N.
• Theresa A Beardsley, REGISTERED NURSE
• Stephanie Ardella Bebeau
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• Peggy M Blenkush, P.T.
• Jordan Burris

• Mental Health Clinic/Center (Including Community Mental Health Center) in Zimmerman, MN
• Providers in Zimmerman, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.