STATE OF WELLNESS INC. (NPI# 1407398399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407398399 |
| Entity Type | Organization |
| Organization Name | STATE OF WELLNESS INC. |
| Other Organization Name | STATE OF WELLNESS |
| Practice Address |
9622 Basket Ring Road Columbia MD 21045 |
| Mailing Address |
9622 Basket Ring Rd Columbia MD 21045-3418 |
| Practice Telephone | 4107152268 |
| Mailing Telephone | 4107152268 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |
| Authorized Official Name | MS. MICHAELA CONLEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4107152268 |
| Authorized Official Credential | MCHES |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| Other Name | Type Code |
|---|---|
| State of Wellness | Former Legal Business Name - Organization |
| Street Address |
9622 BASKET RING ROAD |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700241577 | State of Wellness, Inc | Health Educator | 9622 Basket Ring Road, Columbia, MD 21045-3418 | 2015-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447764634 | Columbia Board of Education | Local Education Agency (LEA) | 3 Schoolhouse Rd, Columbia, CT 06237-1128 | 2017-11-27 |
| 1679938013 | South Carolina Department of Education | Local Education Agency (LEA) | 1429 Senate St, Columbia, SC 29201-3730 | 2015-12-30 |
| 1639406051 | Columbia Public Schools | Local Education Agency (LEA) | 1818 W Worley St, Columbia, MO 65203-1038 | 2009-11-05 |
| 1285804609 | Marion County School District | Local Education Agency (LEA) | 600 Broad St, Columbia, MS 39429-3009 | 2008-03-03 |
| 1407996192 | Adair County Board of Education | Local Education Agency (LEA) | 1204 Greensburg St, Columbia, KY 42728-1811 | 2007-02-08 |
| 1760520845 | Tyrrell County Public Schools | Local Education Agency (LEA) | 210 N. Road St., Columbia, NC 27925-0328 | 2007-02-02 |
| 1669547949 | School District 5 of Lexington & Richland Counties | Local Education Agency (LEA) | 6745 Saint Andrews Rd, Columbia, SC 29212-2127 | 2006-11-21 |
| 1154371938 | Richland School District Two | Local Education Agency (LEA) | 6831 Brookfield Rd, Columbia, SC 29206-2205 | 2006-05-11 |
| 1780641738 | Columbia Borough School District | Local Education Agency (LEA) | 200 N 5th St, Columbia, PA 17512-2102 | 2006-04-26 |
| 1477874634 | South Carolina Public Charter School District | Local Education Agency (LEA) | 3700 Forest Dr, Suite 406, Columbia, SC 29204-4010 | 2010-06-22 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.