Wellness Evolution LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WELLNESS EVOLUTION LLC

Doing business as

Edward Risser, LPCC, NCC

Practice address

1225 Monte Vista Ave
Las Cruces, NM 88001-5629

Phone

(575) 644-3299

NPI assigned

Aug 5, 2018

Last updated

Aug 5, 2018By 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

Vilas Edward Risser, LPCC, NCC

Title

Sole Member

Phone

(575) 644-3299

Specialties & licenses 1

Addresses

Other names 1

• Edward Risser, LPCC, NCC Doing business as

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.

• Edward Risser, LPCC, NCC

  • Professional Counselor
  • Las Cruces, NM
  • NPI 1497965545

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1533427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533427200000",
    "number": "1205314879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 MONTE VISTA AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015629",
            "telephone_number": "575-644-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 MONTE VISTA AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015629",
            "telephone_number": "575-644-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS EVOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-05",
        "last_updated": "2018-08-05",
        "status": "A",
        "authorized_official_last_name": "RISSER",
        "authorized_official_first_name": "VILAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "575-644-3299",
        "authorized_official_credential": "LPCC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edward Risser, LPCC, NCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2018; 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.