Motivated Wellness Solutions, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MOTIVATED WELLNESS SOLUTIONS, LLC

Practice address

185 S Liberty St
Powell, OH 43065-7619

Phone

(740) 233-6357

NPI assigned

Jun 3, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Amy Smitke, LISW-S, LICDCNPI 1730561036

Title

Owner/Clinician

Phone

(740) 233-6357

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Jo Smitke, LISW-S, LICDC

  • Clinical Social Worker
  • Powell, OH
  • NPI 1730561036
  NPD Authorized official

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1245806710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 TOWNSHIP ROAD 208 N",
            "city": "DE GRAFF",
            "state": "OH",
            "postal_code": "433189745",
            "telephone_number": "740-233-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 S LIBERTY ST",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657619",
            "telephone_number": "740-233-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTIVATED WELLNESS SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "SMITKE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "740-233-6357",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW-S, LICDC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730561036",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.google.com",
            "affiliation": "N",
            "endpointDescription": "google workspace",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "185 S Liberty St",
            "city": "Powell",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430657619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Powell, OH
• Providers in Powell, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.