New Wellness Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NEW WELLNESS CENTER, LLC

Doing business as

New Wellness Center, LLC

Practice address

302 Highway 75 N Ste 200
Moorhead, MN 56560-2474

Phone

(612) 701-6780

NPI assigned

Sep 26, 2022

Last updated

Nov 7, 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

Abdullahi Issa, ABDULLAHI ISSANPI 1003599713

Title

Owner

Phone

(612) 701-6780

Specialties & licenses 1

Addresses

Other names 1

• New Wellness Center, LLC Doing business as

Locations

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.

• Abdullahi Abdulkadir Issa

  • Behavior Analyst
  • Minneapolis, MN
  • NPI 1003599713
  NPD Authorized official

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1629791405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 HIGHWAY 75 N STE 200",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602474",
            "telephone_number": "612-701-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 HIGHWAY 75 N STE 200",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602474",
            "telephone_number": "612-701-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "ABDULLAHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-701-6780",
        "authorized_official_credential": "ABDULLAHI ISSA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Wellness Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Wellness Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerald Jerome Nelson, LICSW
• Nora Ann Nelson, MD
• Alexis Ness-Jensen
• New Perspectives LLP
• New Serenity L.L.C.
• Next Ride Taxi LLC
• Jennifer Ann Neznik, OTR/L
• Nicholas J. Gard, Licsw, PLLC
• Kelsey Nicklay
• Katelyn Niederkorn

• Clinic/Center in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.