Organization Active NPI

Wellovation PLLC

  • Counselor
  • San Antonio, TX
National Provider Identifier
1477152809
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
WELLOVATION PLLC
Practice address
2101 Lockhill Selma Rd Ste 210
San Antonio, TX 78213-1409
Phone
(210) 792-1943
NPI assigned
Oct 16, 2020
Organization subpart
Yes
Parent organization
WELLOVATION PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
John AmundsonNPI 1184175937
Title
Owner
Phone
(210) 792-1943

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

2101 Lockhill Selma Rd Ste 210
San Antonio, TX 78213-1409

Mailing address

10538 Legacy CV
San Antonio, TX 78240-4475
Phone (210) 792-1943

Other identifiers 1

IdentifierTypeStateIssuer
76536OtherPSYCHOLOGY, COUNSELOR, PSYCHIATRY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.wellovation.org

National Provider Directory

National Provider Directory
Part of
Wellovation PLLC

Locations

910 West Ave
Austin, TX 78701
Phone (512) 309-0799

910 West Ave
Ste 2
Austin, TX 78701

2101 Lockhill Selma Rd
Ste 210
San Antonio, TX 78213
Phone (210) 570-4094

Practitioners & affiliated clinicians

Practitioners 3

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": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1477152809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10538 LEGACY CV",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404475",
            "telephone_number": "210-792-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 LOCKHILL SELMA RD STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131409",
            "telephone_number": "210-792-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLOVATION PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLOVATION PLLC",
        "enumeration_date": "2020-10-16",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "AMUNDSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-792-1943"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY, COUNSELOR, PSYCHIATRY",
            "identifier": "76536",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.wellovation.org",
            "affiliation": "N",
            "endpointDescription": "www.wellovation.org",
            "address_1": "2101 Lockhill Selma Rd Ste 210",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782131409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.