Wellness to Wholeness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WELLNESS TO WHOLENESS LLC

Practice address

212 Archer St Ste a
Bel Air, MD 21014-3681

Phone

(443) 782-5630

Fax

(443) 808-2628

NPI assigned

Oct 11, 2019

Organization subpart

No

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

Authorized official

Name

Malgorzata Nussbaum, LCMFT, LMFT, LAC

Title

Member

Phone

(443) 782-5630

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1396387254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 ARCHER ST STE A",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143681",
            "telephone_number": "443-782-5630",
            "fax_number": "443-808-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 ARCHER ST STE A",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143681",
            "telephone_number": "443-782-5630",
            "fax_number": "443-808-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS TO WHOLENESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "MALGORZATA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "443-782-5630",
        "authorized_official_credential": "LCMFT, LMFT, LAC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225053500",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wtwcounselingllc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "212 Archer St Ste A",
            "city": "Bel Air",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210143681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.