Beloved Wellness Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BELOVED WELLNESS CENTER, LLC

Practice address

3535 30TH Ave Ste 207
Kenosha, WI 53144-1632

Phone

(262) 496-8897

NPI assigned

Mar 2, 2020

Last updated

Mar 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dominique Pritchett, PSY.D., LCSW, CSACNPI 1356605323

Title

Owner/Director

Phone

(262) 496-8897

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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.

• Dominique Shantelle Pritchett, LCSW

  • Clinical Social Worker
  • Kenosha, WI
  • NPI 1356605323
  Authorized official Same address or phone

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1881228559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 30TH AVE STE 207",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441632",
            "telephone_number": "262-496-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 30TH AVE STE 207",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441632",
            "telephone_number": "262-496-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELOVED WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "PRITCHETT",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "262-496-8897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., LCSW, CSAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356605323",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpritchett@belovedwellnesscenter.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3535 30th Ave Ste 207",
            "city": "Kenosha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531441632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carol Bell, MS
• Deborah Bell, LPC
• Tekeyia Bell
• Jesse Dean Belmont, LPC
• Alyssa Belotti, RN
• Dayna Gail Bennett, DT
• Tracy Marie Benson, MOT, OTR/L, CHT
• Laura Bentrup, OTR
• Natalya Berce, NP
• Berglund Chiropractic Clinic SC (Berglund Health & Wellness Center)

• Clinical Social Worker in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.