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TWO ROADS WELLNESS CLINIC, LLC
NPI 1417329426
Nurse Practitioner - Primary Care in Danville, IL

Active since October 29, 2015CLIA Certified · 2 labs
3545 N VERMILION ST, DANVILLE, IL 61832(217) 651-6801(217) 651-6802 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2026, Dec 13, 2024, Aug 22, 2023 and 1 more (4 updates tracked since 2023).

About Two Roads Wellness Clinic, Llc NPPES

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

TWO ROADS WELLNESS CLINIC, LLC (NPI 1417329426), doing business as Two Roads Wellness Clinic, is a healthcare organization registered as a primary care in Danville, Illinois and active in the NPI registry since October 2015. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Jessica Nemecz, Counselor, as its authorized official.

NPPES Registry Identity

NPI1417329426
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameTWO ROADS WELLNESS CLINIC, LLC
Location Address3545 N VERMILION STDanville, IL 61832-1100
Mailing Address3545 N Vermilion StDanville, IL 61832-1100 · (217) 651-6801 · Fax (217) 651-6802
Phone(217) 651-6801
Fax(217) 651-6802
Organization SubpartNo
Authorized OfficialJessica NemeczCounselor · (217) 651-6801
Enumeration DateOctober 29, 2015
Last NPPES UpdateMay 14, 20264 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1417329426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3545 N VERMILION ST, Danville, IL 61832
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Other Names 1

Doing Business AsTwo Roads Wellness Clinic

Secondary Practice Locations 2

Location 11002 Churchill Rd Ste 1Mahomet, IL 61853-7456 · Phone (217) 655-4993
Location 23115 Village Office PlChampaign, IL 61822-7673 · Phone (217) 531-4101

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 2

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 14D2187667

Two Roads Wellness Clinic · Champaign, IL
Active · expires Jan 19, 2028
CLIA Number14D2187667
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 20, 2026
Certificate Expiration DateJanuary 19, 2028
Laboratory DirectorJessica A. Alford
Laboratory Phone(217) 531-4101
Laboratory LocationTwo Roads Wellness Clinic3115 Village Office Place, Champaign, IL 61822
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2187374

Two Roads Wellness Clinic · Danville, IL
Active · expires May 3, 2027
CLIA Number14D2187374
Laboratory TypeAprns
Certificate Effective DateMay 4, 2025
Certificate Expiration DateMay 3, 2027
Laboratory DirectorSasha M. Powell
Laboratory Phone(217) 651-6801
Laboratory LocationTwo Roads Wellness Clinic3545 N Vermilion, Danville, IL 61832
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JESSICA SCOT GAY MSN, APRN, FNP-BC
Nurse Practitioner
3545 N VERMILION ST
DANVILLE, IL 61832
Vermilion County (217) 651-6801
SHAKELA MCWAINE
Counselor
3545 N VERMILION ST
DANVILLE, IL 61832
Vermilion County (217) 651-6801
MS. NANCY S. DAVIDSON P.T.
Physical Therapist
3545 N VERMILION ST
DANVILLE, IL 61832
Vermilion County (217) 442-8611
MADISON MANINT
Counselor
3545 N VERMILION ST
DANVILLE, IL 61832
Vermilion County (217) 651-6801
MR. MICHEL DEAN TOZER MSED., LCPC
Counselor (Professional)
3545 N VERMILION ST
DANVILLE, IL 61832
Vermilion County (217) 651-6801
ASHLEY MARIE TOLEDO
Massage Therapist
3545 N VERMILION ST
DANVILLE, IL 61832
Vermilion County (217) 651-6801
BEATRICE MARIE ANDERSON APRN
Nurse Practitioner (Adult Health)
3545 N VERMILION ST
DANVILLE, IL 61832
Vermilion County (217) 651-6801
RAYNE ABERNATHY
Counselor (Mental Health)
3545 N VERMILION ST
DANVILLE, IL 61832
Vermilion County (217) 651-6801

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 Two Roads Wellness Clinic, LLC's NPI number?

The NPI number for Two Roads Wellness Clinic, LLC is 1417329426. It was assigned to this organization in the NPPES registry on October 29, 2015. The provider is doing business as Two Roads Wellness Clinic.

Where is Two Roads Wellness Clinic, LLC located?

Two Roads Wellness Clinic, LLC is located at 3545 N Vermilion St, Danville, IL 61832. The listed phone number is (217) 651-6801.

What is Two Roads Wellness Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Two Roads Wellness Clinic, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Two Roads Wellness Clinic, LLC was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.