Active NPI
Wellness Professionals Inc
Doing business as Energia Stress Management Center
- Specialist
- Longmont, CO
National Provider Identifier
1568638120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 552
- Legal business name
- WELLNESS PROFESSIONALS INC
- Doing business as
- Energia Stress Management Center
- Practice address
- 16 Mt View Ave
Suite 102
Longmont, CO 80501 - Phone
- (303) 702-1991
- Fax
- (303) 776-1891
- NPI assigned
- May 5, 2008
- Last updated
- May 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Bonnie Ean Peterson
- Title
- Owner
- Phone
- (303) 776-1879
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 552 | CO | Primary |
Addresses
Primary practice location
16 Mt View Ave
Suite 102
Longmont, CO 80501
Mailing address
833 Independence Dr
Longmont, CO 80501-3926
Phone (303) 776-1879
Other names 1
- Energia Stress Management Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209945600000",
"number": "1568638120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 INDEPENDENCE DR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013926",
"telephone_number": "303-776-1879",
"fax_number": "303-776-1891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 MT VIEW AVE",
"address_2": "SUITE 102",
"city": "LONGMONT",
"state": "CO",
"postal_code": "80501",
"telephone_number": "303-702-1991",
"fax_number": "303-776-1891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS PROFESSIONALS INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-05",
"last_updated": "2008-05-05",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "BONNIE",
"authorized_official_middle_name": "EAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-776-1879",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CO",
"license": "552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Energia Stress Management Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.