Wonderland Express LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WONDERLAND EXPRESS LLC

Practice address

1009 E 9TH St
Hopkinsville, KY 42240-4201

Phone

(931) 338-3983

NPI assigned

Mar 6, 2020

Organization subpart

No

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

Authorized official

Name

Tonya Wacker, LPCCNPI 1295188910

Title

LPCC

Phone

(931) 338-3983

Specialties & licenses 1

Addresses

Practitioners 1

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

• Tonya Wacker, LPCC

  • Mental Health Counselor
  • Clarksville, TN
  • NPI 1295188910
  NPD Authorized official

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1780219014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 WATERFORD CIR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370402528",
            "telephone_number": "931-338-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 E 9TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422404201",
            "telephone_number": "931-338-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERLAND EXPRESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "WACKER",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "LPCC",
        "authorized_official_telephone_number": "931-338-3983",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny Withers
• Pamela Marie Wofford
• Stacia Wolf
• Women'S Health of Western Kentucky LLC
• Women'S Wellness Center, LLC
• Jessica Renee Wood
• Randi Wood
• Woods Drug Store
• Kaleigh Elizabeth Woods
• Connie Workman

• Professional Counselor in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.