Organization Active NPI

Wholesome Healing, LLC

  • Mental Health Counselor
  • Severna Park, MD
National Provider Identifier
1972276822
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WHOLESOME HEALING, LLC
Practice address
770 Ritchie Hwy Ste W16
Severna Park, MD 21146-4158
Phone
(443) 286-3578
NPI assigned
Jul 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Authorized official

Name
Vanessa Kellner, LCPC
Title
Owner / Child and Family Therapist
Phone
(443) 286-3578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

770 Ritchie Hwy Ste W16
Severna Park, MD 21146-4158

Mailing address

770 Ritchie Hwy Ste W16
Severna Park, MD 21146-4158
Phone (443) 286-3578

National Provider Directory

National Provider Directory

Locations

770 Ritchie Hwy
Ste W16
Severna Park, MD 21146
Phone (410) 294-0152

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1972276822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 RITCHIE HWY STE W16",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464158",
            "telephone_number": "443-286-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 RITCHIE HWY STE W16",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464158",
            "telephone_number": "443-286-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLESOME HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "KELLNER",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER / CHILD AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "443-286-3578",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.