Organization Active NPI

Essential Wellness, LLC

  • Adult Mental Health Clinic/Center
  • Topeka, KS
National Provider Identifier
1609406479
Registry record updated Dec 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ESSENTIAL WELLNESS, LLC
Practice address
2887 SW Macvicar Ave # 110
Topeka, KS 66611-1782
Phone
(785) 259-3880
NPI assigned
Jan 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2020

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

Authorized official

Name
Dawn C Bradley, LSCSW
Title
Owner
Phone
(785) 259-3880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2887 SW Macvicar Ave # 110
Topeka, KS 66611-1782

Mailing address

2887 SW Macvicar Ave Ste 110
Topeka, KS 66611-1782
Phone (785) 260-0272

Other identifiers 1

IdentifierTypeStateIssuer
200666160CMedicaidKS

National Provider Directory

National Provider Directory

Locations

2887 SW Macvicar Ave
Ste 110
Topeka, KS 66611
Phone (785) 260-0272

2887 SW Macvicar Ave
#110
Topeka, KS 66611
Phone (785) 259-3880

Practitioners & affiliated clinicians

Practitioners 2

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": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608422400000",
    "number": "1609406479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2887 SW MACVICAR AVE STE 110",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666111782",
            "telephone_number": "785-260-0272",
            "fax_number": "785-408-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2887 SW MACVICAR AVE # 110",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666111782",
            "telephone_number": "785-259-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-259-3880",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200666160C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; 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.