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WELLNESS COLLECTIVE LLC
NPI 1740984368
Counselor in Mobile, AL

Active since March 28, 2023CLIA 01D2313806 · Waiver
3929 AIRPORT BLVD STE 2-204, MOBILE, AL 36609(251) 480-0070(251) 480-0097 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2023, Apr 13, 2023, Mar 28, 2023 (3 updates tracked since 2023).

About Wellness Collective Llc NPPES

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

WELLNESS COLLECTIVE LLC (NPI 1740984368) is a healthcare organization registered as a counselor in Mobile, Alabama and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through November 6, 2026 and lists Amy Collins, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740984368
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameWELLNESS COLLECTIVE LLC
Location Address3929 AIRPORT BLVD STE 2-204Mobile, AL 36609-2241
Mailing AddressPo Box 851807Mobile, AL 36685-1807 · (251) 480-0070 · Fax (251) 480-0097
Phone(251) 480-0070
Fax(251) 480-0097
Organization SubpartNo
Authorized OfficialAmy CollinsCeo · (251) 610-1618
Enumeration DateMarch 28, 2023
Last NPPES UpdateAugust 14, 20233 updates tracked since enumeration
NPPES CertifiedAugust 14, 2023
✔ NPI 1740984368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
3929 AIRPORT BLVD STE 2-204, Mobile, AL 36609
Open in Google Maps ↗

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

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

Clinicians Billing Medicare Through This Organization

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Wellness Collective LLC, which bills Medicare for the services they deliver. Of these, 18 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Mental Health Counselor9
Clinical Social Worker8
Psychiatry5
Nurse Practitioner4
Marriage and Family Therapist2

Nearest to this location (20)

See all 28
Mary Raley
Mental Health Counselor
NPI 1811726987
3929 AIRPORT BLVD STE 2-204
Mobile, AL 36609
(251) 480-0070
✔ PECOSSame address
Martha Mitchell
Marriage and Family Therapist
NPI 1316833015
960 DOWNTOWNER BLVD
Mobile, AL 36609
(251) 480-0070
✔ PECOS✔ Accepts Medicare0.5 mi
Christine Reno, LICSW
Clinical Social Worker
NPI 1013100502
1110 MONTLIMAR DR STE 500
Mobile, AL 36609
(251) 662-9466
✔ PECOS✔ Accepts Medicare0.9 mi
Jeffrey Pappas, LCSW
Clinical Social Worker
NPI 1124186671
1015 MONTLIMAR DR SUITE A-210
Mobile, AL 36609
(251) 343-4104
✔ PECOS✔ Accepts Medicare0.9 mi
Justin Bender, LPC
Mental Health Counselor
NPI 1770511172
1015 MONTLIMAR DRIVE STE A180
Mobile, AL 36609
(251) 343-4101
✔ PECOS✔ Accepts Medicare0.9 mi
Stephanie Garrard, LCSW
Clinical Social Worker
NPI 1427086859
1015 MONTLIMAR DRIVE STE A180
Mobile, AL 36609
(251) 343-4101
✔ PECOS✔ Accepts Medicare0.9 mi
Julius Ritchie, LPC
Mental Health Counselor
NPI 1922039718
1015 MONTLIMAR DRIVE
Mobile, AL 36609
(251) 450-2211
✔ PECOS✔ Accepts Medicare0.9 mi
Elizabeth Wood, MS, LPC
Mental Health Counselor
NPI 1699101360
1015 MONTLIMAR DRIVE SUITE A-210
Mobile, AL 36609
(251) 450-2211
✔ PECOS✔ Accepts Medicare0.9 mi
Ellen Odom, M.S., L.P.C.
Mental Health Counselor
NPI 1578588471
5700 REGENCY CT S
Mobile, AL 36609
(251) 379-9434
✔ PECOS✔ Accepts Medicare1.5 mi
Lisa Boster, LMFT
Marriage and Family Therapist
NPI 1295973469
4087 COTTAGE HILL RD
Mobile, AL 36609
(251) 265-4181
✔ PECOS1.6 mi
Tina Baker
Clinical Social Worker
NPI 1396886867
501 BISHOP LN N
Mobile, AL 36608
(251) 450-2250
✔ PECOS✔ Accepts Medicare2.1 mi
Valerie Schofield, R.N.
Nurse Practitioner
NPI 1871968206
3737 GOVERNMENT BLVD STE 203
Mobile, AL 36693
(251) 300-7134
✔ PECOS✔ Accepts Medicare2.2 mi
Serena Nimityongskul, B.S.
Psychiatry
NPI 1831584168
5870 USA SOUTH DRIVE
Mobile, AL 36688
(251) 460-7151
✔ PECOS✔ Accepts Medicare2.3 mi
William Wilkerson, M.D.
Psychiatry
NPI 1962445056
3475 SPRING HILL AVE SUITE C
Mobile, AL 36608
(251) 380-2054
✔ PECOS✔ Accepts Medicare2.3 mi
Virginia Gordon, MA, LPC
Mental Health Counselor
NPI 1740797919
6576 AIRPORT BLVD STE C200
Mobile, AL 36608
(251) 273-5686
✔ PECOS2.9 mi
Bayani Abordo, M.D.
Psychiatry
NPI 1881696540
5800 SOUTHLAND DR
Mobile, AL 36693
(251) 661-0153
✔ PECOS✔ Accepts Medicare3.9 mi
Carl Mcnatt, LPC
Mental Health Counselor
NPI 1033441472
7280 SELLERS LN
Mobile, AL 36608
(251) 450-2211
✔ PECOS✔ Accepts Medicare4.4 mi
Harold Veits, MD
Psychiatry
NPI 1508811969
7439 MALLARD DR
Mobile, AL 36695
(251) 633-9021
✔ PECOS✔ Accepts Medicare5.1 mi
Erin Difate, LCSW PIP
Clinical Social Worker
NPI 1548301096
7400 ROPER LN
Daphne, AL 36526
(251) 378-6608
✔ PECOS✔ Accepts Medicare15 mi
Carl Hickey, LICSW
Clinical Social Worker
NPI 1801089149
750 MORPHY AVE ATTN: THE HARBOR AT THOMAS HOSPITAL
Fairhope, AL 36532
(251) 279-1119
✔ PECOS19 mi
See all 28 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 01D2313806

Wellness Collective LLC · Mobile, AL
Active · expires Nov 6, 2026
CLIA Number01D2313806
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2024
Certificate Expiration DateNovember 6, 2026
Laboratory DirectorDr. Serena Nimityongskul
Laboratory Phone(251) 480-0070
Laboratory LocationWellness Collective LLC960 Downtowner Blvd, Mobile, AL 36609
CLIA data matches this NPI record on: 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 Collective LLC's NPI number?

The NPI number for Wellness Collective LLC is 1740984368. It was assigned to this organization in the NPPES registry on March 28, 2023.

Where is Wellness Collective LLC located?

Wellness Collective LLC is located at 3929 Airport Blvd Ste 2-204, Mobile, AL 36609. The listed phone number is (251) 480-0070.

What is Wellness Collective LLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Wellness Collective LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Wellness Collective LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 5 Medicare specialties reassign their Medicare billing to Wellness Collective 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 (9), Clinical Social Worker (8) and Psychiatry (5). Of these, 18 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wellness Collective LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2313806) is associated with this NPI, valid through November 6, 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 Collective LLC was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.