Organization Active NPI

Strategic Wellness, LLC

  • Professional Counselor
  • Lakeside Park, KY
National Provider Identifier
1942467154
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0772 Issued in KY
Legal business name
STRATEGIC WELLNESS, LLC
Practice address
2106 Chamber Center Dr
Lakeside Park, KY 41017-1669
Phone
(859) 426-4673
Fax
(859) 426-5175
NPI assigned
May 16, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Jason Scott Bluemlein, ED.D.
Title
Ceo
Phone
(513) 379-7214

National Provider Directory

National Provider Directory

Locations

2106 Chamber Center Dr
Lakeside Park, KY 41017
Phone (859) 426-4673

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0772 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

2106 Chamber Center Dr
Lakeside Park, KY 41017-1669

Mailing address

2106 Chamber Center Dr
Lakeside Park, KY 41017-1669
Phone (859) 426-4673

Other names 1

NPPES NPI Registry
  • Strategic Wellness Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 16, 2008.

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1942467154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 CHAMBER CENTER DR",
            "city": "LAKESIDE PARK",
            "state": "KY",
            "postal_code": "410171669",
            "telephone_number": "859-426-4673",
            "fax_number": "859-426-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 CHAMBER CENTER DR",
            "city": "LAKESIDE PARK",
            "state": "KY",
            "postal_code": "410171669",
            "telephone_number": "859-426-4673",
            "fax_number": "859-426-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATEGIC WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "BLUEMLEIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-379-7214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "0772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strategic Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeside Park, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.