Wings As Eagles Mental Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WINGS AS EAGLES MENTAL HEALTH LLC

Practice address

1058 Granddad LN
West Harrison, IN 47060-6702

Phone

(513) 470-8738

NPI assigned

Dec 30, 2022

Organization subpart

No

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

Authorized official

Name

Kellie Hollan, PMHNP-BCNPI 1871103754

Title

Owner

Phone

(513) 470-8738

Specialties & licenses 1

Addresses

Other names 1

• TRINITY FOCUS LLC Other name

Practitioners 1

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

• Kellie D Hollan, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cincinnati, OH
  • NPI 1871103754
  NPD Authorized official

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672358400000",
    "number": "1811600224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 GRANDDAD LN",
            "city": "WEST HARRISON",
            "state": "IN",
            "postal_code": "470606702",
            "telephone_number": "513-470-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 GRANDDAD LN",
            "city": "WEST HARRISON",
            "state": "IN",
            "postal_code": "470606702",
            "telephone_number": "513-470-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS AS EAGLES MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A",
        "authorized_official_last_name": "HOLLAN",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-470-8738",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRINITY FOCUS LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicholas Anthony Ripperger
• Amber Roszell
• April Tenhunfeld, NP
• Mary Dawn Ulm, RN
• Christele Monique Viel

• Psychiatric/Mental Health Nurse Practitioner in West Harrison, IN
• Providers in West Harrison, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.