SEDALIA WELLNESS CENTER, LLC
NPI 1063836484
Social Worker - Clinical in Sedalia, MO

Q: What is Sedalia Wellness Center, LLC's NPI number?

The NPI number for Sedalia Wellness Center, LLC is 1063836484. It was assigned to this organization in the NPPES registry on February 5, 2014.

Q: What is Sedalia Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since February 05, 2014

1721 S INGRAM AVE, SEDALIA, MO 65301(660) 827-9875(660) 827-9879 Get Directions Write a Review

NPPES record last updated: February 5, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Sedalia Wellness Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEDALIA WELLNESS CENTER, LLC (NPI 1063836484) is a healthcare organization registered as a clinical in Sedalia, Missouri and active in the NPI registry since February 2014. The organization lists Tara Michelle Brown, Owner, as its authorized official.

NPPES Registry Identity

NPI1063836484

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameSEDALIA WELLNESS CENTER, LLC

Location Address1721 S INGRAM AVESedalia, MO 65301-7535

Mailing Address1721 S Ingram AveSedalia, MO 65301-7535 · (573) 268-4419 · Fax (660) 827-9879

Phone(660) 827-9875

Fax(660) 827-9879

Organization SubpartNo

Authorized OfficialTara Michelle BrownOwner · (573) 268-4419

Enumeration DateFebruary 5, 2014

✔ NPI 1063836484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MO · 2004033738

Definition

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.

1721 S INGRAM AVE, Sedalia, MO 65301

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sedalia Wellness Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sedalia Wellness Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tara Brown, LCSW

Clinical Social Worker

NPI 1427090380

121 E BROADWAY BLVD STE 107
Sedalia, MO 65301

(573) 268-4419

✔ PECOS✔ Accepts Medicare0.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sedalia Wellness Center, LLC's NPI number?

The NPI number for Sedalia Wellness Center, LLC is 1063836484. It was assigned to this organization in the NPPES registry on February 5, 2014.

Where is Sedalia Wellness Center, LLC located?

Sedalia Wellness Center, LLC is located at 1721 S Ingram Ave, Sedalia, MO 65301. The listed phone number is (660) 827-9875.

What is Sedalia Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sedalia Wellness Center, LLC enrolled in Medicare?

Yes. Sedalia Wellness Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sedalia Wellness Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Sedalia Wellness Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sedalia Wellness Center, LLC was last updated on February 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.