Active NPI
Wholesome Healing, LLC
- Mental Health Counselor
- Severna Park, MD
National Provider Identifier
1972276822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Severna Park, MD
- NPI 1629814686
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.