NPIMap

Organization Active NPI

Inclusive Wellness LLC

  • Clinical Social Worker
  • East Lansing, MI
National Provider Identifier
1891389029
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INCLUSIVE WELLNESS LLC
Practice address
411 W Lake Lansing Rd Ste A100
East Lansing, MI 48823-8404
Phone
(517) 798-4894
NPI assigned
Feb 28, 2021
Last updated
Sep 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Kiley Shilling
Title
Billing Manager
Phone
(517) 231-3962

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

411 W Lake Lansing Rd Ste A100
East Lansing, MI 48823-8404

Mailing address

411 W Lake Lansing Rd Ste A100
East Lansing, MI 48823-8404
Phone (517) 798-4894

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mal.trumble@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211004000196 MI Part B Supplier - Clinic/Group Practice 2062810237 Receives reassigned benefits from 1 practitioner
Practice locations: East Lansing, MI; Okemos, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1614470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1891389029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W LAKE LANSING RD STE A100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238404",
            "telephone_number": "517-798-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W LAKE LANSING RD STE A100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238404",
            "telephone_number": "517-798-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCLUSIVE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-28",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "SHILLING",
        "authorized_official_first_name": "KILEY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "517-231-3962"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mal.trumble@gmail.com",
            "affiliation": "N",
            "address_1": "3899 Okemos Rd Ste A1",
            "city": "Okemos",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488643666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.

Verify at the official NPI Registry.