ROUNDTABLE WELLNESS (NPI# 1013366251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013366251 |
| Entity Type | Organization |
| Organization Name | ROUNDTABLE WELLNESS |
| Practice Address |
904 South St Lafayette IN 47901-1416 |
| Practice Telephone | 7656307222 |
| Mailing Telephone | 7656307222 |
| Mailing Fax Number | 7658073210 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2018-12-31 |
| Authorized Official Name | RENEE M TILT (OWNER & REGISTERED DIETITIAN) |
| Authorized Official Telephone | 7656307222 |
| Authorized Official Credential | RDN, CSP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
904 SOUTH ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47901-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902875917 | Joel B Mccuaig | Obstetrics & Gynecology | 904 South St, Lafayette, IN 47901-1416 | 2006-03-14 |
| 1316554447 | Rachel Loepker | Social Worker | 904 South St, Lafayette, IN 47901-1416 | 2020-09-23 |
| 1689283418 | Gabriela Olguin-flores | Dietitian, Registered | 904 South St, Lafayette, IN 47901-1416 | 2020-07-28 |
| 1770191389 | Stephanie Milan | Social Worker | 904 South St, Lafayette, IN 47901-1416 | 2020-07-20 |
| 1245799964 | Caroline Weideman | Counselor | 904 South St, Lafayette, IN 47901-1416 | 2019-03-13 |
| 1548727589 | Summer Cooper | Dietitian, Registered | 904 South St, Lafayette, IN 47901-1416 | 2019-02-26 |
| 1316415003 | Tawny Lee Culver | Social Worker | 904 South St, Lafayette, IN 47901-1416 | 2018-11-11 |
| 1245743806 | Laci C Parcell | Social Worker | 904 South St, Lafayette, IN 47901-1416 | 2017-11-06 |
| 1548792856 | Elizabeth Briasco | Dietitian, Registered | 904 South St, Lafayette, IN 47901-1416 | 2017-03-28 |
| 1053853168 | Gardens At Roundtable | Dietitian, Registered | 904 South St, Lafayette, IN 47901-1416 | 2016-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689138398 | Amie Leigh Gallegos | Physical Therapy Assistant | 2741 N Salisbury St, West Lafayette, IN 47901 | 2019-01-27 |
| 1780876656 | William Everett Clymer IIi | Social Worker | 420 Columbia Street, Suite 205, Lafayette, IN 47901 | 2007-08-15 |
| 1780885731 | Purdue University | Clinic/Center | 509 North Street, Lafayette, IN 47901 | 2007-05-29 |
| 1184846727 | Donnamarie Marie Flanagan | Social Worker | 420 Columbia St, Suite 205, Lafayette, IN 47901 | 2007-05-03 |
| 1326269200 | Cleveland G. Shields | Marriage & Family Therapist | 802 Columbia Street, Lafayette, IN 47901 | 2007-05-01 |
| 1861539884 | New Community School | Local Education Agency (LEA) | 710 North St., Lafayette, IN 47901 | 2007-01-31 |
| 1962445387 | Doug A Essex | Counselor | 610 Main Street, Lafayette, IN 47901 | 2006-06-14 |
| 1629250618 | Westcentral Indiana Neonatal Group | Pediatrics | 501 N 3rd St, Lafayette, IN 47901-1001 | 2007-11-30 |
| 1265655831 | William B. Risk | Dentist | 609 N 5th St, Lafayette, IN 47901-1012 | 2007-04-11 |
| 1912992439 | Jeffrey Jon Yocum | Optometrist | 637 Ferry St, Lafayette, IN 47901-1143 | 2005-09-12 |
| Find all providers in zip 47901 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1962972117 | Williford Wellness Counseling Services, LLC | Clinic/Center | 412 Travis St Ste 214, Lafayette, LA 70503-2432 | 2018-11-30 |
| 1992272942 | Maloney Counseling LLC | Clinic/Center | 143 Ridgeway Dr Ste 121, Lafayette, LA 70503-3410 | 2018-10-29 |
| 1235640095 | Parent Partners LLC | Clinic/Center | 1304 Bertrand Dr Ste D5, Lafayette, LA 70506-9104 | 2017-10-19 |
| 1467772814 | First Counsel, LLC | Clinic/Center | 1720 Kaliste Saloom Rd, Suite C-8, Lafayette, LA 70508-6137 | 2010-06-08 |
| 1659921013 | Center for Thriving Families LLC | Clinic/Center | 114 Curran Ln Ste A-1, Lafayette, LA 70506-7222 | 2019-09-18 |
| 1215499173 | Effective Counseling Center | Clinic/Center | 701 Robley Dr Ste 137, Lafayette, LA 70503-5223 | 2019-04-01 |
| 1750864807 | Sharon Myotte | Clinic/Center | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2018-09-13 |
| 1366941155 | Acadiana Addiction Services | Clinic/Center | 218 Rue Beauregard Ste C, Lafayette, LA 70508-3284 | 2018-02-07 |
| 1649797853 | Focus Behavioral Health | Clinic/Center | 215 Rue Fountaine, Lafayette, LA 70508-5742 | 2017-08-28 |
| Find all providers in LAFAYETTE | ||||
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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.