WELLNESS WEST LLC
NPI 1306569629
Clinic/Center - Mental Health (Including Community Mental Health Center) in Waukesha, WI

Active since September 21, 2022
2428 N GRANDVIEW BLVD STE 101, WAUKESHA, WI 53188(262) 259-4100 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wellness West Llc NPPES

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

WELLNESS WEST LLC (NPI 1306569629) is a healthcare organization registered as a mental health (including community mental health center) in Waukesha, Wisconsin and active in the NPI registry since September 2022. The organization lists Jennifer Vann, Owner/psychologist, as its authorized official.

NPPES Registry Identity

NPI1306569629
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameWELLNESS WEST LLC
Location Address2428 N GRANDVIEW BLVD STE 101Waukesha, WI 53188-6906
Mailing Address2428 N Grandview Blvd Ste 101Waukesha, WI 53188-6906 · (262) 259-4100
Organization SubpartNo
Authorized OfficialJennifer VannOwner/psychologist · (262) 259-4100
Enumeration DateSeptember 21, 2022
NPPES CertifiedSeptember 21, 2022
✔ NPI 1306569629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2428 N GRANDVIEW BLVD STE 101, Waukesha, WI 53188

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)

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

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Wellness West LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Clinical Psychologist
NPI 1922451285
2428 N GRANDVIEW BLVD STE 101
Waukesha, WI 53188
(262) 259-4100
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1154008720
2428 N GRANDVIEW BLVD # 101
Waukesha, WI 53188
(262) 259-4100
✔ PECOS0.2 mi
Mental Health Counselor
NPI 1689287385
2717 N GRANDVIEW BLVD STE 303
Waukesha, WI 53188
(262) 544-6486
✔ PECOS✔ Accepts Medicare0.3 mi
Clinical Psychologist
NPI 1578572335
500 RIVERVIEW AVE
Waukesha, WI 53188
(262) 548-7682
✔ PECOS✔ Accepts Medicare1.7 mi
Clinical Psychologist
NPI 1750301727
250 N SUNNY SLOPE RD SUITE 290
Brookfield, WI 53005
(262) 754-9460
✔ PECOS✔ Accepts Medicare8.7 mi
Marriage and Family Therapist
NPI 1013094911
1126 S. 70TH STREET SUITE S-507
West Allis, WI 53214
(414) 727-2789
✔ PECOS✔ Accepts Medicare13 mi
Mental Health Counselor
NPI 1700502960
333 E WASHINGTON ST STE 2100
West Bend, WI 53095
(262) 335-4584
✔ PECOS✔ Accepts Medicare27 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 Wellness West LLC's NPI number?

The NPI number for Wellness West LLC is 1306569629. It was assigned to this organization in the NPPES registry on September 21, 2022.

Where is Wellness West LLC located?

Wellness West LLC is located at 2428 N Grandview Blvd Ste 101, Waukesha, WI 53188. The listed phone number is (262) 259-4100.

What is Wellness West LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Wellness West LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Wellness West LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Wellness West 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 Clinical Psychologist (3), Mental Health Counselor (3) and Marriage and Family Therapist (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wellness West LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Wellness West 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 Wellness West LLC was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.