Healing Minds and Wellness Center, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEALING MINDS AND WELLNESS CENTER, LLC

Practice address

400 N Broadway
Peru, IN 46970-1445

Phone

(765) 460-6264

NPI assigned

Oct 28, 2021

Organization subpart

No

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

Authorized official

Name

Lisa Stults, APRN

Title

Co-Owner

Phone

(765) 460-6264

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

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.

• Lana Wells, RN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kokomo, IN
  • NPI 1548896210
  Medicare reassignment NPD

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1306500046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N BROADWAY",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N BROADWAY",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701445",
            "telephone_number": "765-460-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING MINDS AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "STULTS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "765-460-6264",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Harrell-Bishir, M.A. CCC-SLP
• Mark Hartinger, CRNA
• Kolton Hawkins
• McKalynn Hawkins, LCSW
• Olivia Anne Hayes, NP
• Amy Ilene Heater, COTA
• Kaleen Helms
• Henry County Memorial Hospital (Hickory Creek at Peru)
• Ashley A Herr, RN
• Joanna Lee Hileman

• Family Medicine Physician in Peru, IN
• Providers in Peru, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.