Organization Active NPI

Worthy Life Wellness, PLLC

  • Professional Counselor
  • Mount Vernon, IL
National Provider Identifier
1346717147
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
WORTHY LIFE WELLNESS, PLLC
Practice address
4114 N Water Tower PL Ste F
Mount Vernon, IL 62864-6548
Phone
(618) 965-8030
Fax
(217) 303-5929
NPI assigned
Oct 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Authorized official

Name
Jessica M Ashlock, LCPCNPI 1871897371
Title
Licensed Clinical Professional Coun
Phone
(618) 965-8030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4114 N Water Tower PL Ste F
Mount Vernon, IL 62864-6548

Mailing address

4114 N Water Tower PL Ste F
Mount Vernon, IL 62864-6548
Phone (618) 965-8030

National Provider Directory

National Provider Directory

Locations

4206 Williamson Pl
Ste 1
Mount Vernon, IL 62864
Phone (618) 316-7001

4114 N Water Tower Pl
Ste F
Mount Vernon, IL 62864
Phone (618) 634-7753

Practitioners & affiliated clinicians

Practitioners 4

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": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1346717147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 N WATER TOWER PL STE F",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646548",
            "telephone_number": "618-965-8030",
            "fax_number": "217-303-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 N WATER TOWER PL STE F",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646548",
            "telephone_number": "618-965-8030",
            "fax_number": "217-303-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORTHY LIFE WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "ASHLOCK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED CLINICAL PROFESSIONAL COUN",
        "authorized_official_telephone_number": "618-965-8030",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.