Organization Active NPI

Shanthi Wellness, LLC

  • Mental Health Counselor
  • Iowa City, IA
National Provider Identifier
1245970912
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SHANTHI WELLNESS, LLC
Practice address
1153 Langenberg Ave
Iowa City, IA 52240-9228
Phone
(319) 834-9005
NPI assigned
Mar 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Richard A Stapleton, EDD, LMHCNPI 1811165921
Title
Owner
Phone
(319) 834-9005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1153 Langenberg Ave
Iowa City, IA 52240-9228

Mailing address

1153 Langenberg Ave
Iowa City, IA 52240-9228
Phone (319) 834-9005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260218000875 IA Part B Supplier - Clinic/Group Practice 9133609118 Receives reassigned benefits from 1 practitioner
Practice locations: Iowa City, IA

National Provider Directory

National Provider Directory

Locations

332 S Linn St
Ste 15
Iowa City, IA 52240
Phone (319) 834-9005

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1245970912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 LANGENBERG AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522409228",
            "telephone_number": "319-834-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 LANGENBERG AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522409228",
            "telephone_number": "319-834-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANTHI WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "STAPLETON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-834-9005",
        "authorized_official_credential": "EDD, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.