Organization Active NPI

Dunamis Wellness Group

  • Mental Health Counselor
  • Redding, CA
National Provider Identifier
1467233676
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Oct 12, 2023

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.