Organization Active NPI

Refresh Wellness & Counseling LLC

  • Professional Counselor
  • Lees Summit, MO
National Provider Identifier
1922657477
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
REFRESH WELLNESS & COUNSELING LLC
Practice address
229 NW Blue Pkwy Ste B
Lees Summit, MO 64063-1800
Phone
(816) 427-1828
Fax
(888) 664-4849
NPI assigned
Sep 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Ivy Pellerito, LPCNPI 1710228697
Title
Licensed Professional Counselor
Phone
(816) 427-1828

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

229 NW Blue Pkwy Ste B
Lees Summit, MO 64063-1800

Mailing address

229 NW Blue Pkwy Ste B
Lees Summit, MO 64063-1800
Phone (816) 427-1828

National Provider Directory

National Provider Directory

Locations

208 SE 3rd St
Ste 2
Lees Summit, MO 64063
Phone (407) 900-3603

229 NW Blue Pkwy
Ste B
Lees Summit, MO 64063
Phone (816) 286-4616

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": "1567814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1922657477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 NW BLUE PKWY STE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631800",
            "telephone_number": "816-427-1828",
            "fax_number": "888-664-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 NW BLUE PKWY STE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631800",
            "telephone_number": "816-427-1828",
            "fax_number": "888-664-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFRESH WELLNESS & COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-07",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "PELLERITO",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "816-427-1828",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.