NPIMap

Organization Active NPI

Whole Hearted Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brookfield, WI
National Provider Identifier
1881585750
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WHOLE HEARTED WELLNESS, LLC
Practice address
16655 W Bluemound Rd Ste 301
Brookfield, WI 53005-5935
Phone
(262) 269-1669
NPI assigned
Jul 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Samia KhanNPI 1104577899
Title
Owner
Phone
(262) 269-1169

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

16655 W Bluemound Rd Ste 301
Brookfield, WI 53005-5935

Mailing address

16655 W Bluemound Rd Ste 301
Brookfield, WI 53005-5935
Phone (262) 269-1669

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1881585750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16655 W BLUEMOUND RD STE 301",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055935",
            "telephone_number": "262-269-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16655 W BLUEMOUND RD STE 301",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055935",
            "telephone_number": "262-269-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE HEARTED WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SAMIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-269-1169"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.