Wellpoint Recovery LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WELLPOINT RECOVERY LLC

Practice address

3930 Mezzanine Dr Ste B
Lafayette, IN 47905-8646

Phone

(765) 771-7108

Fax

(765) 269-9569

NPI assigned

Aug 21, 2018

Organization subpart

No

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

Authorized official

Name

Amabel Piris

Title

Practice Manager

Phone

(765) 771-7108

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1518447309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 MEZZANINE DR STE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058646",
            "telephone_number": "765-771-7108",
            "fax_number": "765-269-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 MEZZANINE DR STE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058646",
            "telephone_number": "765-771-7108",
            "fax_number": "765-269-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLPOINT RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "PIRIS",
        "authorized_official_first_name": "AMABEL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "765-771-7108"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Doyle Weil
• Taylor Weishaar, CST
• Norbert Michael Welch, MD
• Valerie B Welch, MD
• Wellbound of Lafayette LLC (WellBound of Lafayette)
• Wells Yeager Best Co Inc (Wells Yeager Best Company)
• Wells Yeager Best Co Inc
• Courtenay A Wells, RN, FWP
• Rhonda D Wells, CST
• Pamela Ann Welton, PHARMD

• Clinic/Center in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.