Organization Active NPI

Reed Wellness Center LLC

  • Mental Health Counselor
  • Fairview Heights, IL
National Provider Identifier
1336774397
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

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.

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.

Verify at the official NPI Registry.