Healing Grounds Center Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HEALING GROUNDS CENTER CORP

Practice address

7510 288TH Ave Ste 1
Salem, WI 53168-9550

Phone

(262) 586-0199

NPI assigned

Jan 28, 2022

Last updated

Jan 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samantha Koralesky, L.ACNPI 1225410285

Title

Owner / Acupuncturist

Phone

(262) 586-0199

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

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.

• Samantha Koralesky, L.AC

  • Acupuncturist
  • Salem, WI
  • NPI 1225410285
  NPD Authorized official

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1972256162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 288TH AVE STE 1",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531689550",
            "telephone_number": "262-586-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 288TH AVE STE 1",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531689550",
            "telephone_number": "262-586-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING GROUNDS CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "KORALESKY",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER / ACUPUNCTURIST",
        "authorized_official_telephone_number": "262-586-0199",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://turningleafacu.janeapp.com/login",
            "affiliation": "N",
            "address_1": "7510 288th Ave Ste 1",
            "city": "Salem",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531689550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinic/Center in Salem, WI
• Providers in Salem, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.