Wanderlust Wellness Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WANDERLUST WELLNESS COUNSELING LLC

Practice address

305 E Short Dr
Coal City, IL 60416-4108

Phone

(815) 600-1353

NPI assigned

Jun 4, 2024

Last updated

Jun 11, 2024By 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

Elizabeth M Letterle, MA, LCPC, PEL

Title

Owner, LCPC/Psychotherapist

Phone

(815) 600-1353

Specialties & licenses 3

Addresses

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.

• Elizabeth M Eaton, LCPC

  • Professional Counselor
  • Wilmington, IL
  • NPI 1861242539
  NPD

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1689415564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E SHORT DR",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "604164108",
            "telephone_number": "815-600-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E SHORT DR",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "604164108",
            "telephone_number": "815-600-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDERLUST WELLNESS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "LETTERLE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, LCPC/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "815-600-1353",
        "authorized_official_credential": "MA, LCPC, PEL"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dawn Maria Wolfe, MA
• Bethany Zbinden, DPT

• Professional Counselor in Coal City, IL
• Providers in Coal City, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.