Organization Active NPI

Nwi Orofacial Myofunctional Therapy, LLC

  • Health & Wellness Coach
  • Crown Point, IN
National Provider Identifier
1790454817
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
NWI OROFACIAL MYOFUNCTIONAL THERAPY, LLC
Practice address
566 N Indiana Ave
Crown Point, IN 46307-3412
Phone
(219) 661-7271
NPI assigned
Sep 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Mrs. Stacy Lashenik, LDHNPI 1699298471
Title
Myofunctional Therapist
Phone
(219) 661-7271

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
Health & Wellness CoachGroup: 193400000X SINGLE SPECIALTY GROUP 171400000X Primary

Addresses

Primary practice location

566 N Indiana Ave
Crown Point, IN 46307-3412

Mailing address

PO Box 2425
Valparaiso, IN 46384-2425
Phone (219) 661-7271

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1790454817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2425",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463842425",
            "telephone_number": "219-661-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 N INDIANA AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073412",
            "telephone_number": "219-661-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWI OROFACIAL MYOFUNCTIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "LASHENIK",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "MYOFUNCTIONAL THERAPIST",
        "authorized_official_telephone_number": "219-661-7271",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LDH"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.