Active NPI
Dunamis Wellness Group
- Mental Health Counselor
- Redding, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- DUNAMIS WELLNESS GROUP
- Practice address
- 1465 Victor Ave Ste B
Redding, CA 96003-4856 - Phone
- (530) 338-0087
- Fax
- (530) 745-6053
- NPI assigned
- Oct 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jill Clark
- Title
- Ceo
- Phone
- (830) 338-1157
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
1465 Victor Ave Ste B
Redding, CA 96003-4856
Mailing address
1465 Victor Ave Ste B
Redding, CA 96003-4856
Phone (530) 338-0087
Other practice location 1
2580 Sierra Sunrise Ter Ste 100
Chico, CA 95928-8441
Phone (530) 338-0087
Other practice location 2
2165 Larkspur Ln Ste 205-208
Redding, CA 96002-0600
Phone (530) 338-0087
National Provider Directory
National Provider DirectoryLocations
2580 Sierra Sunrise Ter
Ste 100
Chico, CA 95928
Phone (530) 338-0087
2165 Larkspur Ln
Ste 205208
Redding, CA 96002
Phone (530) 338-0087
1465 Victor Ave
Ste B
Redding, CA 96003
Phone (530) 200-0982
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cognitive & Behavioral Psychologist
- Redding, CA
- NPI 1487102745
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697068800000",
"number": "1467233676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 VICTOR AVE STE B",
"city": "REDDING",
"state": "CA",
"postal_code": "960034856",
"telephone_number": "530-338-0087",
"fax_number": "530-745-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 VICTOR AVE STE B",
"city": "REDDING",
"state": "CA",
"postal_code": "960034856",
"telephone_number": "530-338-0087",
"fax_number": "530-745-6053"
}
],
"practiceLocations": [
{
"address_1": "2580 Sierra Sunrise Ter Ste 100",
"address_purpose": "LOCATION",
"city": "Chico",
"state": "CA",
"postal_code": "959288441",
"country_code": "US",
"telephone_number": "530-338-0087",
"fax_number": "530-745-6053",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2165 Larkspur Ln Ste 205-208",
"address_purpose": "LOCATION",
"city": "Redding",
"state": "CA",
"postal_code": "960020600",
"country_code": "US",
"telephone_number": "530-338-0087",
"fax_number": "530-745-6053",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DUNAMIS WELLNESS GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-12",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "830-338-1157"
},
"taxonomies": [
{
"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
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.