NPIMap

Organization Active NPI

Sequoia Wellness Center LLC

  • Professional Counselor
  • Lima, OH
National Provider Identifier
1962239921
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SEQUOIA WELLNESS CENTER LLC
Practice address
3000 Elida Rd Ste 2
Lima, OH 45805-1232
Phone
(419) 813-8009
NPI assigned
Sep 16, 2024
Last updated
Mar 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Rita Kinstle, LPCCNPI 1437373552
Title
Owner
Phone
(317) 590-3862

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

3000 Elida Rd Ste 2
Lima, OH 45805-1232

Mailing address

3000 Elida Rd Ste 2
Lima, OH 45805-1232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250319004101 OH Part B Supplier - Clinic/Group Practice 3173045010 Receives reassigned benefits from 4 practitioners
Practice locations: Lima, OH

National Provider Directory

National Provider Directory

Locations

500 E Court St
Sidney, OH 45365
Phone (937) 492-6970

Practitioners & affiliated clinicians

Practitioners 9

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": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1962239921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ELIDA RD STE 2",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ELIDA RD STE 2",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051232",
            "telephone_number": "419-813-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "KINSTLE",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-590-3862",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.