Organization Active NPI

Wellness Initiative Group, LLC

  • Counselor
  • Atlanta, GA
National Provider Identifier
1790345957
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
WELLNESS INITIATIVE GROUP, LLC
Practice address
7106 Smithers Way SW
Atlanta, GA 30331-3886
Phone
(804) 502-8483
NPI assigned
Jun 19, 2019
Last updated
Jun 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
Mrs. Teresa Walton-Skinner, LPCNPI 1457911620
Title
President
Phone
(804) 502-8483

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
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

7106 Smithers Way SW
Atlanta, GA 30331-3886

Mailing address

7106 Smithers Way SW
Atlanta, GA 30331-3886
Phone (804) 502-8483

Other practice location 1

400 W Peachtree St NW # 4-1274
Atlanta, GA 30308-3536
Phone (404) 965-5804

Other practice location 2

7106 Smithers Way SW
Atlanta, GA 30331-3886
Phone (804) 502-8483

National Provider Directory

National Provider Directory

Locations

400 W Peachtree St NW
#41274
Atlanta, GA 30308
Phone (404) 965-5804

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1790345957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7106 SMITHERS WAY SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303313886",
            "telephone_number": "804-502-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7106 SMITHERS WAY SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303313886",
            "telephone_number": "804-502-8483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Peachtree St NW # 4-1274",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303083536",
            "country_code": "US",
            "telephone_number": "404-965-5804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7106 Smithers Way SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303313886",
            "country_code": "US",
            "telephone_number": "804-502-8483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNESS INITIATIVE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "WALTON-SKINNER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-502-8483",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.