Tree of Life Healing Arts, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TREE OF LIFE HEALING ARTS, LLC

Practice address

429 W Lasalle Ave Apt 2
South Bend, IN 46601-1166

Phone

(574) 520-8444

Fax

(574) 367-2154

NPI assigned

Apr 25, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Tracey Lynn Malesa-Wheaton, LCSWNPI 1265861512

Title

Single Member LLC Owner

Phone

(574) 520-8444

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracey Lynn Malesa-Wheaton, LCSW

  • Clinical Social Worker
  • South Bend, IN
  • NPI 1265861512
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1942998273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 W LASALLE AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011108",
            "telephone_number": "574-520-8444",
            "fax_number": "574-367-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 W LASALLE AVE APT 2",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011166",
            "telephone_number": "574-520-8444",
            "fax_number": "574-367-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE HEALING ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2024-03-12",
        "certification_date": "2024-02-18",
        "status": "A",
        "authorized_official_last_name": "MALESA-WHEATON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SINGLE MEMBER LLC OWNER",
        "authorized_official_telephone_number": "574-520-8444",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Malesa-Wheaton, LCSW, LLC
• Luann Marie Tracey, FNP
• Transcend Orthotics & Prosthetics, LLC
• Haley Rose Traxler, RBT
• Donald Trease, O.D.
• Neeraj Trehan, DMD
• Ashlee Trensey, MSN, RNC-NIC, NNP
• Arielle Celeste Trevino, RBT
• Arturo Martinez Trevino Jr., FNP-C
• Elizabeth Trevino, BSW

• Clinical Social Worker in South Bend, IN
• Providers in South Bend, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.