Organization Active NPI

Wellness Creative, LLC

  • Art Therapist
  • Lexington, KY
National Provider Identifier
1891355012
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
Legal business name
WELLNESS CREATIVE, LLC
Practice address
501 Darby Creek Rd Ste 7
Lexington, KY 40509-1605
Phone
(859) 287-4111
NPI assigned
Jun 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Amber Colliver, MT-BC
Title
Owner
Phone
(859) 806-8804

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 221700000X Primary
Music TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225A00000X

Addresses

Primary practice location

501 Darby Creek Rd Ste 7
Lexington, KY 40509-1605

Mailing address

2217 Shannawood Dr
Lexington, KY 40513-1333

Other names 2

  • Wellness Music Therapy Center, LLC Former legal business name
  • Wellness Therapy Services, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1029 Monarch St
Ste 240
Lexington, KY 40513
Phone (859) 219-0089

Practitioners & affiliated clinicians

Practitioners 1

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": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1891355012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 SHANNAWOOD DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DARBY CREEK RD STE 7",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091605",
            "telephone_number": "859-287-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CREATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "COLLIVER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-806-8804",
        "authorized_official_credential": "MT-BC"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Music Therapy Center, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Wellness Therapy Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.