Wellness by Design LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

WELLNESS BY DESIGN LLC

Doing business as

Wellness by Design

Practice address

2749 Fir St
Longview, WA 98632-2022

Phone

(360) 218-1130

NPI assigned

May 14, 2022

Last updated

May 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard Koethke, MS, LMHC, MHPNPI 1275016354

Title

Owner

Phone

(360) 218-1130

Specialties & licenses 1

Addresses

Other names 1

• WELLNESS BY DESIGN Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Koethke, MS, LMHC, MHP

  • Mental Health Counselor
  • Longview, WA
  • NPI 1275016354
  NPD Authorized official

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

{
    "created_epoch": "1652486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652486400000",
    "number": "1528705332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 FIR ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322022",
            "telephone_number": "360-218-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2749 FIR ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322022",
            "telephone_number": "360-218-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS BY DESIGN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-14",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "KOETHKE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-218-1130",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LMHC, MHP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLNESS BY DESIGN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debbie Rabin Welch
• Joseph Michael Welch, PHARM. D.
• Michelle L Welch
• Stacey Ann Welker
• Well Thought, PLLC
• Ellie Renae Wells
• Holly Wells, FNP-BC
• Christopher Wentz
• Craig Allan Werner, D.C.
• Angela Wesson, CNA

• Adult Mental Health Clinic/Center in Longview, WA
• Providers in Longview, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2022; 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.