Organization Active NPI

Cultivating Wellness

  • Adult Mental Health Clinic/Center
  • Springfield, MO
National Provider Identifier
1275199804
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CULTIVATING WELLNESS
Practice address
227 E Sunshine St
Springfield, MO 65807-2652
Phone
(417) 709-4909
Fax
(417) 709-4909
NPI assigned
May 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Authorized official

Name
Angela K Coulter, LCSW
Title
Therapist
Phone
(417) 766-5566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

227 E Sunshine St
Springfield, MO 65807-2652

Mailing address

227 E Sunshine St Ste 112
Springfield, MO 65807-2630
Phone (417) 709-4909

Other identifiers 1

IdentifierTypeStateIssuer
1235135153OtherMOBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

3814 S Cox Ave
Springfield, MO 65807
Phone (417) 709-4909

227 E Sunshine St
Springfield, MO 65807
Phone (417) 709-4909

227 E Sunshine St
Ste 112
Springfield, MO 65807

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1275199804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 E SUNSHINE ST STE 112",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658072630",
            "telephone_number": "417-709-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 E SUNSHINE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658072652",
            "telephone_number": "417-709-4909",
            "fax_number": "417-709-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATING WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "COULTER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "417-766-5566",
        "authorized_official_credential": "LCSW"
    },
    "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": "BLUE CROSS BLUE SHIELD",
            "identifier": "1235135153",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.