Active NPI
Solutions4Wellness, Inc.
- Clinical Social Worker
- Breese, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-010456
- Legal business name
- SOLUTIONS4WELLNESS, INC.
- Practice address
- 110 N Main St
Breese, IL 62230-1630 - Phone
- (618) 322-6424
- Fax
- (618) 227-8227
- NPI assigned
- Feb 14, 2017
- Last updated
- Oct 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Christina R Diesen, LCSW
- Title
- Owner
- Phone
- (618) 322-6424
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149-010456 | IL | Primary |
Addresses
Primary practice location
110 N Main St
Breese, IL 62230-1630
Mailing address
110 N Main St
Breese, IL 62230-1630
Phone (618) 322-6424
Other practice location 1
3600 S Water Tower Pl
Mount Vernon, IL 62864-6589
Phone (618) 322-6424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326161969 | Other | IL | NPI 1 |
Other names 1
- Christina R. Diesen, LCSW
National Provider Directory
National Provider DirectoryLocations
4977 Old US Highway 50
Aviston, IL 62216
Phone (618) 322-6424
110 N Main St
Breese, IL 62230
Phone (618) 322-6424
231 N Main St
Breese, IL 62230
Phone (618) 322-6424
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Clinical Social Worker
- Breese, IL
- NPI 1326161969
-
- Professional Counselor
- Maryville, IL
- NPI 1972063162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602028800000",
"number": "1841739620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 N MAIN ST",
"city": "BREESE",
"state": "IL",
"postal_code": "622301630",
"telephone_number": "618-322-6424",
"fax_number": "618-227-8227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N MAIN ST",
"city": "BREESE",
"state": "IL",
"postal_code": "622301630",
"telephone_number": "618-322-6424",
"fax_number": "618-227-8227"
}
],
"practiceLocations": [
{
"address_1": "3600 S Water Tower Pl",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "IL",
"postal_code": "628646589",
"country_code": "US",
"telephone_number": "618-322-6424",
"fax_number": "618-227-8227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SOLUTIONS4WELLNESS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-14",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A",
"authorized_official_last_name": "DIESEN",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-322-6424",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-010456",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI 1",
"identifier": "1326161969",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Christina R. Diesen, LCSW",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Christina R. Diesen, LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Breese, IL
- Lucy Hanson Schrage, M.A., L.C.P.C, A.T.R
- Saif Shaikh, MD
- Danielle L Shubert, PNP
- Melissa Siebert, APN
- Clinton M Smith, D.C.
- Southern Bus & Mobility, Inc
- Southern Illinois Geriatrics, P.C. (Geriatrics First, P.C.)
- Southern Obstetric & Gyneco Associates (Southern OB/GYN)
- Speaking of Nutrition LLC
- SSM Select Rehab St. Louis, LLC (SSM Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.