NPIMap

Organization Active NPI

Kingdom Wellness Counseling and Mentoring Center

  • Counselor
  • Muncie, IN
National Provider Identifier
1437528437
Registry record updated Sep 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
KINGDOM WELLNESS COUNSELING AND MENTORING CENTER
Practice address
3400 W Riggin Rd
Unit #5
Muncie, IN 47304-6140
Phone
(765) 749-4913
NPI assigned
Sep 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2015

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

Authorized official

Name
Taquetta S Baker, ME.D
Title
Owner
Phone
(765) 749-4913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

3400 W Riggin Rd
Unit #5
Muncie, IN 47304-6140

Mailing address

3400 W Riggin Rd
Unit #5
Muncie, IN 47304-6140
Phone (765) 749-4913

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442707200000",
    "number": "1437528437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W RIGGIN RD",
            "address_2": "UNIT #5",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046140",
            "telephone_number": "765-749-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W RIGGIN RD",
            "address_2": "UNIT #5",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046140",
            "telephone_number": "765-749-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM WELLNESS COUNSELING AND MENTORING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-20",
        "last_updated": "2015-09-20",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "TAQUETTA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-749-4913",
        "authorized_official_credential": "ME.D"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2015; 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.