Enso Wellness Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ENSO WELLNESS INC

Practice address

2014 Green St Rear
Harrisburg, PA 17102-2127

Phone

(717) 836-1184

Fax

(717) 754-0017

NPI assigned

Nov 16, 2018

Organization subpart

No

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

Authorized official

Name

Julia Tilley, LCSWNPI 1144371394

Title

President

Phone

(717) 836-1184

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julia L Tilley, LCSW

  • Professional Counselor
  • Harrisburg, PA
  • NPI 1144371394
  NPD (past) Authorized official

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542326400000",
    "number": "1477022614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 GREEN ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171022127",
            "telephone_number": "717-836-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 GREEN ST REAR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171022127",
            "telephone_number": "717-836-1184",
            "fax_number": "717-754-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSO WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A",
        "authorized_official_last_name": "TILLEY",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-836-1184",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.