The Wellness Collective LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE WELLNESS COLLECTIVE LLC

Doing business as

The Wellness Collective

Practice address

1750 Kilbourn St
Elkhart, IN 46514-1920

Phone

(574) 320-3792

NPI assigned

Mar 2, 2020

Last updated

Mar 2, 2020By 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

Michelle Thomas, LCSWNPI 1801041488

Title

Manager

Phone

(574) 320-3792

Specialties & licenses 1

Addresses

Other names 1

• The Wellness Collective 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.

• Michelle R. Thomas, LCSW

  • Mental Health Counselor
  • Elkhart, IN
  • NPI 1801041488
  Authorized official Same address or phone

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1689208340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 MAYFLOWER PL",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264738",
            "telephone_number": "574-320-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 KILBOURN ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141920",
            "telephone_number": "574-320-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "574-320-3792",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellness Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Health and Hospital Corporation of Marion County (East Lake Nursing & Rehabilitation)
• The Health and Hospital Corporation of Marion County (Elkhart Meadows)
• The Health and Hospital Corporation of Marion County (Riverside Village)
• The People's Clinic
• The Samaritan Center
• Ahunyoi Thomas
• Lynn R Thomas, D.D.S.
• Mabel Thomas, RBT
• Michael H Thomas, MD
• Michelle R. Thomas, LCSW

• Clinical Social Worker in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.