THE WELLNESS COLLECTIVE LLC (NPI# 1689208340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689208340 |
| Entity Type | Organization |
| Organization Name | THE WELLNESS COLLECTIVE LLC |
| Practice Address |
1750 Kilbourn St Elkhart IN 46514-1920 |
| Mailing Address |
1712 Mayflower Pl Goshen IN 46526-4738 |
| Practice Telephone | 5743203792 |
| Mailing Telephone | 5743203792 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | MICHELLE THOMAS (MANAGER) |
| Authorized Official Telephone | 5743203792 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| The Wellness Collective | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | The Wellness Collective LLC | 14443 Woodleigh Dr., Chester, Virginia 23831 |
| Colorado Business Entities | The Wellness Collective LLC | 77 Wayback Dr, Dillon, CO 80435 |
| Street Address |
1750 KILBOURN ST |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-1920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881613966 | Kaufman Counseling & Consulting, Ltd. | Clinic/Center | 1750 Kilbourn St, Elkhart, IN 46514-1920 | 2006-07-19 |
| 1891311742 | Psychiatric Services LLC | Durable Medical Equipment & Medical Supplies | 1750 Kilbourn St, Elkhart, IN 46514-1920 | 2020-06-17 |
| 1396369872 | Lori Tabor | Social Worker | 1750 Kilbourn St, Elkhart, IN 46514-1920 | 2020-06-01 |
| 1184245466 | Michelle Thomas, Lcsw, LLC | Counselor | 1750 Kilbourn St, Elkhart, IN 46514-1920 | 2020-04-28 |
| 1497227417 | Wind & Waves, LLC | Counselor | 1750 Kilbourn St, Elkhart, IN 46514-1920 | 2019-01-02 |
| 1497195606 | Denise Briggs, PC | Clinic/Center | 1750 Kilbourn St, Elkhart, IN 46514-1920 | 2013-07-02 |
| 1801041488 | Michelle R. Thomas | Counselor | 1750 Kilbourn St, Elkhart, IN 46514-1920 | 2008-11-24 |
| 1295942175 | Stanley C. Hoffman | Psychologist | 1750 Kilbourn St, Elkhart, IN 46514-1920 | 2007-05-17 |
| 1740497668 | Lou Ann Todd, Inc. | Clinic/Center | 1750 Kilbourn St, Elkhart, IN 46514-1920 | 2007-05-17 |
| 1568513109 | John G Kaufman | Social Worker | 1750 Kilbourn St, Elkhart, IN 46514-1920 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235568973 | Lori Harrington | Social Worker | 56218 Parkway Ave Ste B, Elkhart, IN 46516-9326 | 2013-11-04 |
| 1316249436 | Lenny Carl Lcsw, Inc | Social Worker | 1626 N Bay Dr, Elkhart, IN 46514-4270 | 2010-11-22 |
| 1497936272 | Julie D Wilke | Social Worker | 2334 Sterling Ave, Elkhart, IN 46516-4969 | 2007-11-20 |
| 1942492418 | Michael Louis Mirante | Social Worker | 227 S Main St Ste 103, Elkhart, IN 46516-3185 | 2007-08-17 |
| 1508995556 | Queen Yoder | Social Worker | 1004 Parkway Ave Ste D, Elkhart, IN 46516-9349 | 2007-03-05 |
| 1285777623 | David William Replogle | Social Worker | 25310 N Shore Dr, Elkhart, IN 46514-8500 | 2007-02-15 |
| 1386732543 | Constance Anne Stamper | Social Worker | 501 West Bristol Street, Elkhart, IN 46514-2964 | 2006-10-11 |
| 1609880574 | Richard Daniel Koch | Social Worker | 501 W Bristol St, Elkhart, IN 46514-2964 | 2006-07-28 |
| 1386664969 | Catherine C Blum | Social Worker | 3040b Windsor Ct, Elkhart, IN 46514-5555 | 2006-07-19 |
| 1467471466 | Thomas J Carder | Social Worker | 612 E Bristol St, Elkhart, IN 46514-3479 | 2006-07-19 |
| Find all providers in ELKHART | ||||
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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.