Active NPI
Reed Wellness Center LLC
- Mental Health Counselor
- Fairview Heights, IL
National Provider Identifier
1336774397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- REED WELLNESS CENTER LLC
- Practice address
- 8 1/2 Canty LN
Fairview Heights, IL 62208-2624 - Phone
- (618) 698-3401
- NPI assigned
- Mar 10, 2020
- Organization subpart
- Yes
- Parent organization
- REED WELLNESS CENTER LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Reed
- Title
- Ceo
- Phone
- (618) 698-3401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
8 1/2 Canty LN
Fairview Heights, IL 62208-2624
Mailing address
8 1/2 Canty LN
Fairview Heights, IL 62208-2624
Phone (618) 698-3401
Other names 1
- Wellness Way
National Provider Directory
National Provider Directory- Part of
- Reed Wellness Center LLC
Locations
8 Canty Ln
Fairview Heights, IL 62208
Phone (618) 698-3401
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Fairview Heights, IL
- NPI 1740829647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583798400000",
"number": "1336774397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 1/2 CANTY LN",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622082624",
"telephone_number": "618-698-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 1/2 CANTY LN",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622082624",
"telephone_number": "618-698-3401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REED WELLNESS CENTER LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REED WELLNESS CENTER LLC",
"enumeration_date": "2020-03-10",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A",
"authorized_official_last_name": "REED",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "618-698-3401"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wellness Way",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairview Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.