THE WELLNESS COLLABORATIVE (NPI# 1396149829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396149829 |
| Entity Type | Organization |
| Organization Name | THE WELLNESS COLLABORATIVE |
| Practice Address |
1664 Chestwood Dr Virginia Beach VA 23453-7064 |
| Mailing Address |
Po Box 6892 Virginia Beach VA 23456-0892 |
| Practice Telephone | 7574127753 |
| Practice Fax Number | 7573016920 |
| Mailing Telephone | 7574127753 |
| Mailing Fax Number | 7573016920 |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |
| Authorized Official Name | DR. JONATHAN ERIC SMITH (OWNER) |
| Authorized Official Telephone | 7574127753 |
| Authorized Official Credential | PHD, LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 0717001246 | VA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154895803 | The Wellness Collaborative | Physical Therapist | 1343 W 38th St, Erie, PA 16508-2461 | 2019-01-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | The Wellness Collaborative LLC | 1664 Chestwood Drive, Virginia Beach, Virginia 23453 |
| Street Address |
1664 CHESTWOOD DR |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23453-7064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730322611 | Jonathan Eric Smith | Counselor | 1664 Chestwood Dr, Virginia Beach, VA 23453-7064 | 2009-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407346109 | Sumaca S.a De C.v. | General Acute Care Hospital | Paseo De La Marina Int 4116, El Medano, San Jose Del Cabo, BAJA CALIFORNIA SUR 23453 | 2018-05-17 |
| 1336644814 | Jessica Zuckerman | Family Medicine | 2309 Nettleford Way, Virginia Beach, VA 23453 | 2018-03-27 |
| 1811359623 | Jana Leigh Dillon | Behavioral Analyst | 3101 Magic Hollow Blvd Ste 101, Virginia Beach, VA 23453 | 2016-03-22 |
| 1679903249 | Carmen Robinson | Physical Therapy Assistant | 3729 Purebred Dr, Virginia Beach, VA 23453 | 2013-11-19 |
| 1386986891 | Christina Pryor | Behavioral Analyst | Nbc 1531 Amberley Forest Road, Virginia Beach, VA 23453 | 2013-03-22 |
| 1417222415 | Rebecca Lynn Dahlka | Contractor | 1404 Planting Ct., Virginia Beach, VA 23453 | 2012-03-09 |
| 1730405879 | Coastal Dermatology P.C. | Dermatology | 3176 Holland Rd., 103, Virginia Beach, VA 23453 | 2010-04-14 |
| 1235466277 | Michael Allen Brasko | Specialist/Technologist, Other | 2604 Olympic Drive, Virginia Beach, VA 23453 | 2009-11-12 |
| 1518101385 | Matthew Faauli | Social Worker | 3134 Magic Hollow Blvd, Ste 200, Virginia Beach, VA 23453 | 2009-04-23 |
| 1104902246 | Cynthia Tapp Elswick | Social Worker | 3432 Magic Hollow Blvd, Suite 200, Va. Beach, VA 23453 | 2006-10-31 |
| Find all providers in zip 23453 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351193 | Maxim Healthcare Services Inc. | Community/Behavioral Health | 293 Independence Blvd Ste 400, Virginia Beach, VA 23462-5461 | 2020-09-17 |
| 1225646490 | Sunshine Behavioral Consulting | Community/Behavioral Health | 6328 Bucknell Cir, Virginia Beach, VA 23464-4420 | 2020-07-14 |
| 1831710524 | Virginia State Properties LLC | Community/Behavioral Health | 509 Pinewood Dr, Virginia Beach, VA 23451-4424 | 2020-05-04 |
| 1659992584 | Leaf Behavior Support LLC | Community/Behavioral Health | 3577 Brannon Dr, Virginia Beach, VA 23456-6913 | 2020-05-01 |
| 1447879887 | Mission United | Community/Behavioral Health | 5632 Old Providence Rd Ste A, Virginia Beach, VA 23464-3967 | 2020-04-15 |
| 1780225698 | Community of Destiny Inc | Community/Behavioral Health | 5040 Va Beach Blvd, Virginia Beach, VA 23462-6637 | 2019-10-02 |
| 1467919894 | 1850 West LLC | Community/Behavioral Health | 3007 Delaware Xing, Virginia Beach, VA 23453-3112 | 2019-02-21 |
| 1154888618 | Beach Behavioral Aba,llc | Community/Behavioral Health | 3100 Poplar Bnd, Virginia Beach, VA 23452-5966 | 2019-02-20 |
| 1881165769 | Rosario Foundation of Life | Community/Behavioral Health | 1838 Bloomfield Dr, Virginia Beach, VA 23453-5524 | 2018-12-17 |
| 1811483464 | Mcclenney Family Values, LLC | Community/Behavioral Health | 612 Thomas Nelson Dr, Virginia Beach, VA 23452-1911 | 2018-07-06 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23453 |
Please comment or provide details below to improve the information on THE WELLNESS COLLABORATIVE.
| 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.