Organization Active NPI

Origins Community Wellness Center

  • Chiropractor
  • Lansing, MI
National Provider Identifier
1194613448
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ORIGINS COMMUNITY WELLNESS CENTER
Practice address
4004 W St Joe Hwy
Lansing, MI 48917-4215
Phone
(517) 327-7463
NPI assigned
Jun 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Cheyanne Boss
Title
Co-Ceo
Phone
(616) 916-7429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4004 W St Joe Hwy
Lansing, MI 48917-4215

Mailing address

6842 Old Village CT SE
Grand Rapids, MI 49546-6801
Phone (616) 916-7429

National Provider Directory

National Provider Directory

Locations

4004 W St Joe Hwy
Lansing, MI 48917
Phone (517) 321-1154

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1194613448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6842 OLD VILLAGE CT SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466801",
            "telephone_number": "616-916-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 W ST JOE HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174215",
            "telephone_number": "517-327-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGINS COMMUNITY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "BOSS",
        "authorized_official_first_name": "CHEYANNE",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "616-916-7429"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.