WELLNESS PLACE LLC
NPI 1316208069
Psychologist in Kuttawa, KY

Active since May 30, 2012CLIA 18D2198235 · Waiver
68 CEDAR ST., KUTTAWA, KY 42055(270) 601-1575(270) 350-4673 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellness Place Llc NPPES

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

WELLNESS PLACE LLC (NPI 1316208069) is a healthcare organization registered as a psychologist in Kuttawa, Kentucky and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through October 29, 2026, maintains a secondary practice location in Madisonville, and lists Daniel Kristin Jones, Member, as its authorized official.

NPPES Registry Identity

NPI1316208069
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameWELLNESS PLACE LLC
Location Address68 CEDAR ST.Kuttawa, KY 42055
Mailing AddressPo Box 250Kuttawa, KY 42055-0250 · (270) 601-4235 · Fax (270) 365-4438
Fax(270) 350-4673
Organization SubpartNo
Authorized OfficialDaniel Kristin JonesMember · (270) 601-4235
Enumeration DateMay 30, 2012
Last NPPES UpdateAugust 6, 2019
NPI 1316208069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in KY · 1313
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
68 CEDAR ST., Kuttawa, KY 42055

Secondary Practice Location 1

Location 11840 Lantaff Blvd Ste 100Madisonville, KY 42431-9403 · Phone (270) 601-4235

Other Identifiers 1

Medicaid7100299330KY

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2198235

Wellness Place LLC · Kuttawa, KY
Active · expires Oct 29, 2026
CLIA Number18D2198235
Laboratory TypeBehavioral Health
Certificate Effective DateOctober 30, 2024
Certificate Expiration DateOctober 29, 2026
Laboratory DirectorDr. Daniel K. Jones
Laboratory Phone(270) 601-4235
Laboratory LocationWellness Place LLC68 Cedar Street, Kuttawa, KY 42055
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Place LLC's NPI number?

The NPI number for Wellness Place LLC is 1316208069. It was assigned to this organization in the NPPES registry on May 30, 2012.

Where is Wellness Place LLC located?

Wellness Place LLC is located at 68 Cedar St., Kuttawa, KY 42055. The listed phone number is (270) 601-1575.

What is Wellness Place LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Does Wellness Place LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2198235) is associated with this NPI, valid through October 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellness Place LLC was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.