FOUNDATION: A WELLNESS PRACTICE, LLC
NPI 1750878203
Counselor in Jonesboro, AR

Q: What is Foundation: A Wellness Practice, LLC's NPI number?

The NPI number for Foundation: A Wellness Practice, LLC is 1750878203. It was assigned to this organization in the NPPES registry on April 20, 2018.

Q: What is Foundation: A Wellness Practice, LLC's specialty?

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

Active since April 20, 2018

533 W WASHINGTON AVE, JONESBORO, AR 72401(870) 229-0302(870) 520-6482 Get Directions Write a Review

NPPES record last updated: September 28, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 28, 2018, Sep 21, 2018, Apr 20, 2018 (3 updates tracked since 2018).

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About Foundation: A Wellness Practice, Llc NPPES

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

FOUNDATION: A WELLNESS PRACTICE, LLC (NPI 1750878203) is a healthcare organization registered as a counselor in Jonesboro, Arkansas and active in the NPI registry since April 2018. The organization lists Vicki Lanell White, Owner, as its authorized official.

NPPES Registry Identity

NPI1750878203

Entity TypeOrganization

Primary Taxonomy101Y00000X

Legal Business NameFOUNDATION: A WELLNESS PRACTICE, LLC

Location Address533 W WASHINGTON AVEJonesboro, AR 72401

Mailing Address533 W Washington AveJonesboro, AR 72401-2782 · (870) 229-0302 · Fax (870) 520-6482

Phone(870) 229-0302

Fax(870) 520-6482

Organization SubpartNo

Authorized OfficialVicki Lanell WhiteOwner · (573) 344-0976

Enumeration DateApril 20, 2018

Last NPPES UpdateSeptember 28, 20183 updates tracked since enumeration

✔ NPI 1750878203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ 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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedBehavior AnalystTaxonomy 103K00000X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

Also ListedPsychologist · CounselingTaxonomy 103TC1900X

533 W WASHINGTON AVE, Jonesboro, AR 72401

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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)

Foundation: A Wellness Practice, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 11 clinicians reassign Medicare billing to Foundation: A Wellness Practice, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Clinical Social Worker8

Nurse Practitioner3