INTEGRATIVE WELLNESS, LLC
NPI 1750723490
Psychiatry & Neurology - Psychiatry in Lebanon, IN
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 3 active CLIA laboratory certificates and lists Lynette Clark, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Integrative Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Integrative Wellness, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 22Source: 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 3
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 15D2281929
Integrative Wellness, LLC · Lebanon, INCertificate of Waiver 15D2247786
Integrative Wellness, LLC · Crawfordsville, INCertificate of Waiver 15D2248970
Integrative Wellness, LLC · Frankfort, INFrequently 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.
Is Integrative Wellness, LLC enrolled in Medicare?
Yes. Integrative Wellness, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrative Wellness, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 5 Medicare specialties reassign their Medicare billing to Integrative Wellness, 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 (7), Clinical Social Worker (5) and Psychiatry (5). Of these, 1 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Integrative Wellness, LLC hold CLIA laboratory certificates?
Yes. 3 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, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer 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 20 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.
# Integrative Wellness, Llc · NPI 1750723490
Psychiatry organization in Lebanon, Indiana. Organization record, active in the CMS NPPES registry since July 23, 2013.
## Identity
- **NPI:** 1750723490 (Entity type: Organization)
- **Enumerated:** July 23, 2013
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Lynette Clark, MANAGING MEMBER
## Practice location
- **Address:** 1310 S LEBANON ST STE C, Lebanon, IN 46052-3077
- **Phone:** (765) 680-0071 · **Fax:** (765) 680-0468
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 22 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (7), Clinical Social Worker (5), Psychiatry (5); 1 practice at this address and 9 within 10 miles; [full list](https://npiprofile.com/npi/1750723490/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2025
- **Other identifiers:** Medicaid 20119298A (IN)
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1750723490) · Data from the CMS NPPES public registry.