Organization Active NPI

Padme Wellness, LLC

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1891317269
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PADME WELLNESS, LLC
Practice address
17 E Main St
Richmond, VA 23219-2109
Phone
(804) 506-3849
Fax
(804) 508-6312
NPI assigned
May 8, 2020
Last updated
Aug 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Luisiana I Cano, LPC, LSATPNPI 1477903805
Title
Owner/Clinician
Phone
(804) 506-3849

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

17 E Main St
Richmond, VA 23219-2109

Mailing address

704 N 1St St
Richmond, VA 23219-1310
Phone (804) 506-3849

Other identifiers 1

IdentifierTypeStateIssuer
1336293000MedicaidVA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1891317269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 N 1ST ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232191310",
            "telephone_number": "804-506-3849",
            "fax_number": "804-508-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E MAIN ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232192109",
            "telephone_number": "804-506-3849",
            "fax_number": "804-508-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADME WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "CANO",
        "authorized_official_first_name": "LUISIANA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "804-506-3849",
        "authorized_official_credential": "LPC, LSATP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336293000",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.