Active NPI
Wellness Training Associates Inc
- Professional Counselor
- Shelby, NC
National Provider Identifier
1194920199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2260
- Legal business name
- WELLNESS TRAINING ASSOCIATES INC
- Practice address
- 201 W Marion St Ste 319
Shelby, NC 28150-5094 - Phone
- (704) 300-0086
- Fax
- (704) 300-0086
- NPI assigned
- Jun 19, 2007
- 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
- Linda Radeker, MA, LPC
- Title
- Therapist
- Phone
- (704) 300-0086
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2260 | NC | Primary |
Addresses
Primary practice location
201 W Marion St Ste 319
Shelby, NC 28150-5094
Mailing address
PO Box 2402
Shelby, NC 28151-2402
Phone (704) 300-0086
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1076L | Other | NC | BCBS |
| 100250 | Other | NC | UNITED BEHAVIORAL HEALTH |
| 2037896 | Other | NC | CIGNA BEHAVIORAL HEALTH |
| 6005227 | Medicaid | NC | |
| C4779 | Other | NC | MEDCOST |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200960000000",
"number": "1194920199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2402",
"city": "SHELBY",
"state": "NC",
"postal_code": "281512402",
"telephone_number": "704-300-0086",
"fax_number": "704-300-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W MARION ST STE 319",
"city": "SHELBY",
"state": "NC",
"postal_code": "281505094",
"telephone_number": "704-300-0086",
"fax_number": "704-300-0086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS TRAINING ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-19",
"last_updated": "2008-01-22",
"status": "A",
"authorized_official_last_name": "RADEKER",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "704-300-0086",
"authorized_official_credential": "MA, LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "NC",
"license": "2260",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1076L",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "100250",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "2037896",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005227",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "C4779",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.