NPIMap

Organization Active NPI

Wellness Collective LLC

  • Counselor
  • Mobile, AL
National Provider Identifier
1740984368
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
WELLNESS COLLECTIVE LLC
Practice address
3929 Airport Blvd Ste 2-204
Mobile, AL 36609-2241
Phone
(251) 480-0070
Fax
(251) 480-0097
NPI assigned
Mar 28, 2023
Last updated
Aug 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Amy Collins
Title
Ceo
Phone
(251) 610-1618

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

3929 Airport Blvd Ste 2-204
Mobile, AL 36609-2241

Mailing address

PO Box 851807
Mobile, AL 36685-1807
Phone (251) 480-0070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230828000384 AL Part B Supplier - Clinic/Group Practice 6800252628 Receives reassigned benefits from 27 practitioners
Practice locations: Mobile, AL

National Provider Directory

National Provider Directory

Locations

3929 Airport Blvd
Ste 2-204
Mobile, AL 36609
Phone (251) 421-2812

960 Downtowner Blvd
Mobile, AL 36609
Phone (251) 480-0070

Practitioners & affiliated clinicians

Practitioners 37

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.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1740984368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851807",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366851807",
            "telephone_number": "251-480-0070",
            "fax_number": "251-480-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 AIRPORT BLVD STE 2-204",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092241",
            "telephone_number": "251-480-0070",
            "fax_number": "251-480-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "251-610-1618"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.