INTEGRATIVE WELLNESS, LLC
NPI 1750723490
Psychiatry & Neurology - Psychiatry in Lebanon, IN

Active since July 23, 2013CLIA Certified · 4 labs
1310 S LEBANON ST STE C, LEBANON, IN 46052(765) 680-0071(765) 680-0468 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Integrative Wellness, Llc NPPES

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

INTEGRATIVE WELLNESS, LLC (NPI 1750723490) is a healthcare organization registered as a psychiatry in Lebanon, Indiana and active in the NPI registry since July 2013. The organization holds 4 active CLIA laboratory certificates and lists Lynette Clark, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1750723490
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameINTEGRATIVE WELLNESS, LLC
Location Address1310 S LEBANON ST STE CLebanon, IN 46052-3077
Mailing Address1310 S Lebanon St Ste CLebanon, IN 46052-3077 · (765) 680-0071 · Fax (765) 680-0468
Fax(765) 680-0468
Organization SubpartNo
Authorized OfficialLynette ClarkManaging Member · (765) 366-4621
Enumeration DateJuly 23, 2013
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
NPI 1750723490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
1310 S LEBANON ST STE C, Lebanon, IN 46052

Other Identifiers 1

Medicaid20119298AIN

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 4

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 15D2266279

Integrative Wellness, LLC · Lebanon, IN
Active · expires Aug 8, 2026
CLIA Number15D2266279
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorCrystal L. Jones
Laboratory Phone(765) 680-0071
Laboratory LocationIntegrative Wellness, LLC1310 S Lebanon St Suite C, Lebanon, IN 46052
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 15D2281929

Integrative Wellness, LLC · Lebanon, IN
Active · expires May 14, 2027
CLIA Number15D2281929
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorCrystal L. Jones
Laboratory Phone(765) 680-0071
Laboratory LocationIntegrative Wellness, LLC215 W Chicago Street, Lebanon, IN 46052
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2247786

Integrative Wellness, LLC · Crawfordsville, IN
Active · expires Jan 6, 2027
CLIA Number15D2247786
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorCrystal L. Jones
Laboratory Phone(765) 680-0071
Laboratory LocationIntegrative Wellness, LLC407 E Market St Ste 101, Crawfordsville, IN 47933
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2248970

Integrative Wellness, LLC · Frankfort, IN
Active · expires Jan 6, 2027
CLIA Number15D2248970
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorCrystal L. Jones
Laboratory Phone(765) 680-0071
Laboratory LocationIntegrative Wellness, LLC2485 E Wabash St, Frankfort, IN 46041
CLIA data matches this NPI record on: 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.

Counselor (Mental Health)
1310 S LEBANON ST STE C
LEBANON, IN 46052
Counselor (Mental Health)
1310 S LEBANON ST STE C
LEBANON, IN 46052

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 Integrative Wellness, LLC's NPI number?

The NPI number for Integrative Wellness, LLC is 1750723490. It was assigned to this organization in the NPPES registry on July 23, 2013.

Where is Integrative Wellness, LLC located?

Integrative Wellness, LLC is located at 1310 S Lebanon St Ste C, Lebanon, IN 46052. The listed phone number is (765) 680-0071.

What is Integrative Wellness, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Integrative Wellness, LLC hold CLIA laboratory certificates?

Yes. 4 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.

What insurance does Integrative Wellness, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Integrative Wellness, 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 Integrative Wellness, LLC was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.