NPIMap

Organization Active NPI

Elysian Wellness

  • Mental Health Counselor
  • Catlettsburg, KY
National Provider Identifier
1740095090
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELYSIAN WELLNESS
Practice address
3237 Camelot Dr
Catlettsburg, KY 41129-9116
Phone
(606) 615-6989
NPI assigned
Feb 12, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Selina Keeney, LPCCNPI 1073220034
Title
Coo
Phone
(304) 521-8490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Elysian Wellness (2 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

NPPES NPI Registry

Primary practice location

3237 Camelot Dr
Catlettsburg, KY 41129-9116

Mailing address

3237 Camelot Dr
Catlettsburg, KY 41129-9116
Phone (606) 615-6989

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 12, 2025.

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1740095090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 CAMELOT DR",
            "city": "CATLETTSBURG",
            "state": "KY",
            "postal_code": "411299116",
            "telephone_number": "606-615-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 CAMELOT DR",
            "city": "CATLETTSBURG",
            "state": "KY",
            "postal_code": "411299116",
            "telephone_number": "606-615-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIAN WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "KEENEY",
        "authorized_official_first_name": "SELINA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "304-521-8490",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catlettsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.