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THUNDERMAKER WELLNESS LLC
NPI 1821896051
Clinic/Center - Mental Health (Including Community Mental Health Center) in Prescott, AZ

Active since March 04, 2025CLIA 03D2327842 · Waiver
1045 WHIPPLE ST, PRESCOTT, AZ 86305(928) 493-4300 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2025, Mar 14, 2025, Mar 4, 2025 (3 updates tracked since 2025).

About Thundermaker Wellness Llc NPPES

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

THUNDERMAKER WELLNESS LLC (NPI 1821896051) is a healthcare organization registered as a mental health (including community mental health center) in Prescott, Arizona and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through July 29, 2027 and lists Addison Howard, Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1821896051
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameTHUNDERMAKER WELLNESS LLC
Location Address1045 WHIPPLE STPrescott, AZ 86305-1662
Mailing Address1045 Whipple StPrescott, AZ 86305-1662 · (928) 493-4300
Phone(928) 493-4300
Organization SubpartNo
Authorized OfficialAddison HowardAdministrative Officer · (928) 531-1930
Enumeration DateMarch 4, 2025
Last NPPES UpdateDecember 12, 20253 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1821896051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
1045 WHIPPLE ST, Prescott, AZ 86305
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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 03D2327842

Thundermaker Wellness Lllc · Prescott, AZ
Active · expires Jul 29, 2027
CLIA Number03D2327842
Laboratory TypeOutpatient Behavioral Hea
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorJannas Ashlee Hennington
Laboratory Phone(928) 531-1930
Laboratory LocationThundermaker Wellness Lllc1045 Whipple St, Prescott, AZ 86305
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 6

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

JESSICA RACHEL NORRIS MOT
Occupational Therapist
1045 WHIPPLE ST
PRESCOTT, AZ 86305
Yavapai County (928) 777-9897
DR. LAUREN ELISE HALL OTD, OTR
Occupational Therapist
1045 WHIPPLE ST
PRESCOTT, AZ 86305
Yavapai County (928) 777-9897
REBEKAH LUTZ OTR/L
Occupational Therapist
1045 WHIPPLE ST
PRESCOTT, AZ 86305
Yavapai County (928) 777-9897
CATHERINE L YOUNG OT/L
Occupational Therapist
1045 WHIPPLE ST
PRESCOTT, AZ 86305
Yavapai County (928) 777-9897
MS. BECKY ANN PETERSON OTR
Occupational Therapist
1045 WHIPPLE ST
PRESCOTT, AZ 86305
Yavapai County (928) 777-9897
MRS. LISA JAE BAILEY OT/L
Occupational Therapist
1045 WHIPPLE ST
PRESCOTT, AZ 86305
Yavapai County (805) 287-2944

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 Thundermaker Wellness LLC's NPI number?

The NPI number for Thundermaker Wellness LLC is 1821896051. It was assigned to this organization in the NPPES registry on March 4, 2025.

Where is Thundermaker Wellness LLC located?

Thundermaker Wellness LLC is located at 1045 Whipple St, Prescott, AZ 86305. The listed phone number is (928) 493-4300.

What is Thundermaker Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Thundermaker Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2327842) is associated with this NPI, valid through July 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Thundermaker Wellness LLC was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.