NPIMap

Organization Active NPI

Thoughtful Wellness, LLC

  • Clinical Social Worker
  • Ephrata, PA
National Provider Identifier
1447789581
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THOUGHTFUL WELLNESS, LLC
Practice address
514 E Main St
Ephrata, PA 17522-2508
Phone
(717) 721-1752
Fax
(717) 674-7428
NPI assigned
Jun 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Shanna Leah Scott-KlunkNPI 1972770717
Title
Licensed Clinical Social Worker
Phone
(717) 721-1752

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

514 E Main St
Ephrata, PA 17522-2508

Mailing address

514 E Main St
Ephrata, PA 17522-2508
Phone (717) 721-1752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171129000766 PA Part B Supplier - Clinic/Group Practice 5890052856 Receives reassigned benefits from 5 practitioners
Practice locations: Ephrata, PA

National Provider Directory

National Provider Directory

Locations

1987 State St
Ste 206
East Petersburg, PA 17520
Phone (717) 340-2097

514 E Main St
Ephrata, PA 17522
Phone (717) 721-1752

Practitioners & affiliated clinicians

Practitioners 10

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": "1497139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1447789581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 E MAIN ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222508",
            "telephone_number": "717-721-1752",
            "fax_number": "717-674-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 E MAIN ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222508",
            "telephone_number": "717-721-1752",
            "fax_number": "717-674-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOUGHTFUL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-11",
        "last_updated": "2023-12-19",
        "certification_date": "2023-11-25",
        "status": "A",
        "authorized_official_last_name": "SCOTT-KLUNK",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "717-721-1752"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.