Organization Active NPI

Be Well and Bloom, LLC

  • Adult Mental Health Clinic/Center
  • Terre Haute, IN
National Provider Identifier
1992406847
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BE WELL AND BLOOM, LLC
Practice address
1400 E Pugh Dr Ste 15
Terre Haute, IN 47802-3938
Phone
(812) 201-6299
Fax
(812) 892-2820
NPI assigned
Mar 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Ashland Wheat, LMFTNPI 1801473897
Title
Owner
Phone
(812) 201-6299

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1400 E Pugh Dr Ste 15
Terre Haute, IN 47802-3938

Mailing address

476 E 7TH St
Clinton, IN 47842-7069
Phone (812) 201-6299

Other names 1

  • Be Well Counseling and Consultation Doing business as

National Provider Directory

National Provider Directory

Locations

476 E 7th St
Clinton, IN 47842

1400 E Pugh Dr
Ste 15
Terre Haute, IN 47802
Phone (812) 201-6299

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": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1992406847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 E 7TH ST",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478427069",
            "telephone_number": "812-201-6299",
            "fax_number": "812-892-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E PUGH DR STE 15",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023938",
            "telephone_number": "812-201-6299",
            "fax_number": "812-892-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE WELL AND BLOOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "WHEAT",
        "authorized_official_first_name": "ASHLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-201-6299",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Be Well Counseling and Consultation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.