Community & Wellness Collective

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMMUNITY & WELLNESS COLLECTIVE

Practice address

121 Bernhardt Ave
Saint Louis, MO 63121-1200

Phone

(314) 574-4090

NPI assigned

Apr 22, 2024

Organization subpart

No

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

Authorized official

Name

Candace Marie Simmons, CHW, MAADC

Title

Founder

Phone

(314) 574-4090

Specialties & licenses 1

Addresses

Other names 1

• COMMUNITY & WELLNESS COLLECTIVE Doing business as

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1922853126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BERNHARDT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631211200",
            "telephone_number": "314-574-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BERNHARDT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631211200",
            "telephone_number": "314-574-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY & WELLNESS COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-21",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "314-574-4090",
        "authorized_official_credential": "CHW, MAADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY & WELLNESS COLLECTIVE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.