Van Aman Center for Wellness, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

VAN AMAN CENTER FOR WELLNESS, PLLC

Practice address

1224 Towanda Ave Ste 22
Bloomington, IL 61701-7414

Phone

(847) 644-3672

NPI assigned

Mar 15, 2022

Last updated

Mar 15, 2022By 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

Caroline M Van Aman, LCPCNPI 1073066155

Title

Counselor Business Owner

Phone

(847) 644-3672

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Van Aman Center for Wellness, PLLC Former legal business name

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.

• Caroline Vanaman

  • Counselor
  • Peoria, IL
  • NPI 1073066155
  NPD Authorized official

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1205584570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 MOSS CREEK RD",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617042915",
            "telephone_number": "847-644-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 TOWANDA AVE STE 22",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617017414",
            "telephone_number": "847-644-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN AMAN CENTER FOR WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "VAN AMAN",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COUNSELOR BUSINESS OWNER",
        "authorized_official_telephone_number": "847-644-3672",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1073066155",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van Aman Center for Wellness, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Urologic Surgery Associates, S.C.
• Janet Wintersteen Valdes, PT
• Tara Valentine
• Shelby Valladares
• Ricardo Vallejo, MD
• Tana Van Meter, PT,DPT
• Stacey Karzen Van Scoyoc, DDS
• Tracy L Vanapeldoorn, APRN, FNP-C
• David Arlen Vancoppenolle, P.T.
• William K. Vanderwaal, D.D.S.

• Adult Mental Health Clinic/Center in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.