Active NPI
Cultivating Wellness
- Adult Mental Health Clinic/Center
- Springfield, MO
National Provider Identifier
1275199804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235135153 | Other | MO | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.