Active NPI
Wellness Networks, Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Highland Park, MI
National Provider Identifier
1871865253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- WELLNESS NETWORKS, INC
- Practice address
- 64 Victor St
Highland Park, MI 48203-3128 - Phone
- (313) 446-9800
- Fax
- (313) 446-9839
- NPI assigned
- Feb 1, 2012
- 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
- Tanya Mauldin
- Title
- Provider Enrollment Manager
- Phone
- (414) 225-1611
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 6801017866 | MI | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
64 Victor St
Highland Park, MI 48203-3128
Mailing address
Dept CH 14583
Palatine, IL 60055-0001
Phone (866) 525-5484
Other names 1
- Wellness Networks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- AIDS Partnership Michigan Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Voluntary or Charitable Agency
- Detroit, MI
- NPI 1942617535
-
- Family Medicine Physician
- Highland Park, MI
- NPI 1154712271
Locations
Dept CH 14583
Palatine, IL 60055
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Highland Park, MI
- NPI 1992287338
-
- Nurse Practitioner
- Highland Park, MI
- NPI 1912556762
-
- Infectious Disease Physician
- Highland Park, MI
- NPI 1275060402
-
- Infectious Disease Physician
- Milwaukee, WI
- NPI 1326272162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774396800000",
"number": "1871865253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT CH 14583",
"city": "PALATINE",
"state": "IL",
"postal_code": "600550001",
"telephone_number": "866-525-5484",
"fax_number": "833-394-4961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 VICTOR ST",
"city": "HIGHLAND PARK",
"state": "MI",
"postal_code": "482033128",
"telephone_number": "313-446-9800",
"fax_number": "313-446-9839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS NETWORKS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-01",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A",
"authorized_official_last_name": "MAULDIN",
"authorized_official_first_name": "TANYA",
"authorized_official_title_or_position": "PROVIDER ENROLLMENT MANAGER",
"authorized_official_telephone_number": "414-225-1611"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6801017866",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wellness Networks",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Highland Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.