Continuim Wellness, LLC.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

CONTINUIM WELLNESS, LLC.

Practice address

14785 W 101St Ave # 101
Dyer, IN 46311-3371

Phone

(219) 689-5563

Fax

(219) 979-5253

NPI assigned

Sep 24, 2020

Last updated

Nov 18, 2021By 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

Jason Wilson, L,AC.NPI 1861651663

Title

Manager

Phone

(219) 689-5563

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 5

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.

• Jason Andrew Wilson, L.AC. M.S.O.M.

  • Acupuncturist
  • Dyer, IN
  • NPI 1861651663
  NPD Authorized official
• Shanon Lee Mekola

  • Family Nurse Practitioner
  • Michigan City, IN
  • NPI 1568943231
  NPD
• Jessica Lynn Peterson, ND, LAC

  • Acupuncturist
  • Dyer, IN
  • NPI 1093331126

  Multi-Specialty

  NPD
• Kevin Krembs, MD

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1134209265
  NPD
• Karen Lynn Lashure

  • Massage Therapist
  • Saint John, IN
  • NPI 1457977761
  NPD (past)

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1578170486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14785 W 101ST AVE # 101",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463113371",
            "telephone_number": "219-689-5563",
            "fax_number": "219-979-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14785 W 101ST AVE # 101",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463113371",
            "telephone_number": "219-689-5563",
            "fax_number": "219-979-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINUIM WELLNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "219-689-5563",
        "authorized_official_credential": "L,AC."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@cwellclinic.com",
            "affiliation": "N",
            "address_1": "14785 W 101st Ave # 101",
            "city": "Dyer",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463113371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jan Cooper
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• Jennifer Ann Cowger, LCSW, LCAC
• Tabatha Creasbaum, LMHC
• Paige Creighton, D/OTR

• Medical Specialty Clinic/Center in Dyer, IN
• Providers in Dyer, IN by specialty
• Medical Specialty Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.