Prairie Winds Healing, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PRAIRIE WINDS HEALING, LLC

Practice address

908 N Howard Ave Ste 102
Grand Island, NE 68803-3529

Phone

(308) 398-6050

Fax

(308) 398-6051

NPI assigned

Jul 12, 2023

Organization subpart

No

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

Authorized official

Name

Leisa Rowe

Title

Owner

Phone

(308) 398-6050

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1437838950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N HOWARD AVE STE 102",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688033529",
            "telephone_number": "308-398-6050",
            "fax_number": "308-398-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N HOWARD AVE STE 102",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688033529",
            "telephone_number": "308-398-6050",
            "fax_number": "308-398-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE WINDS HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "LEISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-398-6050"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.