Wholeness Healing Center PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9086 Issued in NE

Legal business name

WHOLENESS HEALING CENTER PC

Practice address

2608 Old Fair Rd
Grand Island, NE 68803-5271

Phone

(308) 382-5297

Fax

(308) 382-5315

NPI assigned

Mar 12, 2012

Last updated

Aug 13, 2013By 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

Ms. Michelle L Choplin

Title

Billing Specialist

Phone

(308) 382-5297

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Wholeness Healing Center PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wholeness Healing Center, P.C.

  • Mental Health Counselor
  • Broken Bow, NE
  • NPI 1407944838
  NPD tax ID

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.

• Jane L Watson, LCSW

  • Mental Health Counselor
  • Grand Island, NE
  • NPI 1770688657
  NPD (past)

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1912272873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 29TH AVE",
            "address_2": "SUITE 5",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688451280",
            "telephone_number": "308-455-1560",
            "fax_number": "308-455-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 OLD FAIR RD",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688035271",
            "telephone_number": "308-382-5297",
            "fax_number": "308-382-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLENESS HEALING CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "CHOPLIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "308-382-5297",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "9086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026194400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Whitefoot, RN
• Elizabeth Ellen Whitehead
• Rachel Whitlock
• Susan A Whitman, RN
• Wholeness Healing Center PC
• Alicia K. Wicht, NBC-HWC
• Kristopher Robert Widga
• Kaylan Wieczorek
• Mike Wieczorek
• Lora Wiesen, NP

• Mental Health Counselor in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.