THERAPEUTIC WELLNESS LLC
NPI 1144060476
Nurse Practitioner - Psychiatric/Mental Health in Lancaster, SC

Active since May 24, 2024
14420 MARITIME DR, LANCASTER, SC 29720(803) 762-0822 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Therapeutic Wellness Llc NPPES

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

THERAPEUTIC WELLNESS LLC (NPI 1144060476) is a healthcare organization registered as a psychiatric/mental health in Lancaster, South Carolina and active in the NPI registry since May 2024. The organization lists Quintara Hicks, Owner, as its authorized official.

NPPES Registry Identity

NPI1144060476
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTHERAPEUTIC WELLNESS LLC
Location Address14420 MARITIME DRLancaster, SC 29720-0256
Mailing Address14420 Maritime DrLancaster, SC 29720-0256 · (803) 762-0822
Organization SubpartNo
Authorized OfficialQuintara HicksOwner · (919) 809-9024
Enumeration DateMay 24, 2024
Last NPPES UpdateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1144060476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
14420 MARITIME DR, Lancaster, SC 29720

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Therapeutic Wellness LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 3

Mental Health Counselor5
Clinical Social Worker4
Nurse Practitioner1

Clinicians, nearest first (10)

Mental Health Counselor
NPI 1427720283
1120 SPARKLEBERRY LANE EXT STE B
Columbia, SC 29223
(803) 967-9313
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1205572260
115 ATRIUM WAY BLDG STE 221
Columbia, SC 29223
(803) 699-8887
✔ PECOS✔ Accepts Medicare38 mi
Clinical Social Worker
NPI 1851071039
SC HOUSE CALLS, INC. 111 DOCTORS CIR.
Columbia, SC 29203
(800) 491-0909
✔ PECOS39 mi
Mental Health Counselor
NPI 1639684343
200 HAWTHORNE LN
Charlotte, NC 28204
(704) 384-9414
✔ PECOS✔ Accepts Medicare40 mi
Mental Health Counselor
NPI 1457015612
2638 TWO NOTCH RD STE 210
Columbia, SC 29204
(803) 983-5262
✔ PECOS✔ Accepts Medicare42 mi
Mental Health Counselor
NPI 1023493194
3600 FOREST DR STE 302
Columbia, SC 29204
(803) 699-8887
✔ PECOS✔ Accepts Medicare42 mi
Clinical Social Worker
NPI 1841467768
3809 ROSEWOOD DR
Columbia, SC 29205
(803) 786-1844
✔ PECOS✔ Accepts Medicare45 mi
Clinical Social Worker
NPI 1821806712
268 MARABOU CIR
West Columbia, SC 29169
(803) 457-3872
✔ PECOS✔ Accepts Medicare45 mi
Mental Health Counselor
NPI 1184395584
440 KNOTTS ABOTT DRIVE SUITE 400
Cayce, SC 29033
(843) 501-1099
✔ PECOS✔ Accepts Medicare47 mi
Clinical Social Worker
NPI 1750676169
6301 E 41ST ST
Tulsa, OK 74135
(918) 289-0550
✔ PECOS✔ Accepts Medicare853 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 Therapeutic Wellness LLC's NPI number?

The NPI number for Therapeutic Wellness LLC is 1144060476. It was assigned to this organization in the NPPES registry on May 24, 2024.

Where is Therapeutic Wellness LLC located?

Therapeutic Wellness LLC is located at 14420 Maritime Dr, Lancaster, SC 29720. The listed phone number is (803) 762-0822.

What is Therapeutic Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Therapeutic Wellness LLC enrolled in Medicare?

Yes. Therapeutic Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Therapeutic Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Therapeutic Wellness 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. The largest specialties are Mental Health Counselor (5), Clinical Social Worker (4) and Nurse Practitioner (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Therapeutic Wellness LLC accept?

Health plans from Molina Healthcare list Therapeutic Wellness LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Therapeutic Wellness LLC was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.