NPIMap

Organization Active NPI

Human Wellness Collective LLC

  • Mental Health Counselor
  • Warsaw, IN
National Provider Identifier
1740850528
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HUMAN WELLNESS COLLECTIVE LLC
Practice address
1127 E Winona Ave
Warsaw, IN 46580-4606
Phone
(407) 920-5398
NPI assigned
Jun 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Authorized official

Name
Tyler James Zielasko, LMHCNPI 1669526653
Title
Therapist/Owner
Phone
(407) 920-5398

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

Specialties & licenses 1

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

Addresses

Primary practice location

1127 E Winona Ave
Warsaw, IN 46580-4606

Mailing address

1127 E Winona Ave
Warsaw, IN 46580-4606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231220001601 IN Part B Supplier - Clinic/Group Practice 2567812308 Receives reassigned benefits from 5 practitioners
Practice locations: Nappanee, IN; Warsaw, IN

National Provider Directory

National Provider Directory

Locations

151 E Lincoln St
Nappanee, IN 46550
Phone (574) 376-4489

3562 E US Highway 30
Warsaw, IN 46580
Phone (574) 252-1922

1127 E Winona Ave
Warsaw, IN 46580
Phone (407) 920-5398

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1740850528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 E WINONA AVE",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465804606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 E WINONA AVE",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465804606",
            "telephone_number": "407-920-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN WELLNESS COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "ZIELASKO",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "407-920-5398",
        "authorized_official_credential": "LMHC"
    },
    "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 Warsaw, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.