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TWO ROADS WELLNESS CLINIC, LLC
NPI 1639927296
Clinic/Center - Primary Care in Covington, IN

Active since May 08, 2024CLIA 15D2300651 · Waiver
318 4TH ST, COVINGTON, IN 47932(765) 231-4193 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2025, May 8, 2024 (2 updates tracked since 2024).

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 1639927296) is a healthcare organization registered as a primary care in Covington, Indiana and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through March 13, 2028 and lists Jessica Nemecz, Owner, as its authorized official.

NPPES Registry Identity

NPI1639927296
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTWO ROADS WELLNESS CLINIC, LLC
Location Address318 4TH STCovington, IN 47932-1274
Mailing Address3545 N Vermilion StDanville, IL 61832-1100 · (217) 651-6801 · Fax (217) 651-6802
Phone(765) 231-4193
Organization SubpartNo
Authorized OfficialJessica NemeczOwner · (217) 651-6801
Enumeration DateMay 8, 2024
Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1639927296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
318 4TH ST, Covington, IN 47932
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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 15D2300651

Two Roads Wellness Clinic · Covington, IN
Active · expires Mar 13, 2028
CLIA Number15D2300651
Laboratory TypeIndependent
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorBeatrice M. Anderson
Laboratory Phone(765) 231-4193
Laboratory LocationTwo Roads Wellness Clinic318 4th Street, Covington, IN 47932
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 2

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

WHITNEY OVERPECK
Nurse Practitioner
318 4TH ST
COVINGTON, IN 47932
Fountain County (217) 651-6801
LAUREN STARKEY
Counselor
318 4TH ST
COVINGTON, IN 47932
Fountain 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 1639927296. It was assigned to this organization in the NPPES registry on May 8, 2024.

Where is Two Roads Wellness Clinic, LLC located?

Two Roads Wellness Clinic, LLC is located at 318 4th St, Covington, IN 47932. The listed phone number is (765) 231-4193.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Two Roads Wellness Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2300651) is associated with this NPI, valid through March 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Two Roads Wellness Clinic, LLC was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.