Organization Active NPI

Primenest Wellness LLC

  • Mental Health Counselor
  • Bloomsburg, PA
National Provider Identifier
1396652814
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PRIMENEST WELLNESS LLC
Practice address
1025 Alliance Park Dr
Bloomsburg, PA 17815-8937
Phone
(337) 376-8664
Fax
(337) 376-8664
NPI assigned
Aug 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Erika Edwards
Title
Ceo
Phone
(337) 376-8664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1025 Alliance Park Dr
Bloomsburg, PA 17815-8937

Mailing address

1025 Alliance Park Dr
Bloomsburg, PA 17815-8937

NPI Registry JSON

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1396652814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 ALLIANCE PARK DR",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 ALLIANCE PARK DR",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158937",
            "telephone_number": "337-376-8664",
            "fax_number": "337-376-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMENEST WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-376-8664"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.