Organization Active NPI

Wellness and Action Integration, LLC

  • Health & Wellness Coach
  • Grottoes, VA
National Provider Identifier
1922896596
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
WELLNESS AND ACTION INTEGRATION, LLC
Practice address
776 Carson Cir
Grottoes, VA 24441-2581
Phone
(505) 312-4145
NPI assigned
Apr 25, 2025
Last updated
Apr 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Jaclyn Mouras, PSYDNPI 1639805708
Title
Founder/Health and Wellness Support
Phone
(505) 312-4145

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
Health & Wellness Coach 171400000X Primary

Addresses

Primary practice location

776 Carson Cir
Grottoes, VA 24441-2581

Mailing address

776 Carson Cir
Grottoes, VA 24441-2581

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1922896596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 CARSON CIR",
            "city": "GROTTOES",
            "state": "VA",
            "postal_code": "244412581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 CARSON CIR",
            "city": "GROTTOES",
            "state": "VA",
            "postal_code": "244412581",
            "telephone_number": "505-312-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS AND ACTION INTEGRATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "MOURAS",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "FOUNDER/HEALTH AND WELLNESS SUPPORT",
        "authorized_official_telephone_number": "505-312-4145",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grottoes, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.