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INTEGRATIVE WELLNESS CENTER
NPI 1912509514
Nurse Practitioner - Family in Columbus, OH

Active since November 10, 2020CLIA 36D2225985 · Waiver
1243 E BROAD ST, COLUMBUS, OH 43205(614) 321-7856 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 20, 2021, Nov 10, 2020 (2 updates tracked since 2020).

About Integrative Wellness Center NPPES

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

INTEGRATIVE WELLNESS CENTER (NPI 1912509514) is a healthcare organization registered as a family in Columbus, Ohio and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through May 24, 2027 and lists Kenneth Nwogu, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912509514
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameINTEGRATIVE WELLNESS CENTER
Location Address1243 E BROAD STColumbus, OH 43205-1404
Mailing Address520 Hill Rd N Unit 115Pickerington, OH 43147-6505 · (614) 321-7856
Phone(614) 321-7856
Organization SubpartNo
Authorized OfficialKenneth NwoguCeo · (614) 321-7856
Enumeration DateNovember 10, 2020
Last NPPES UpdateMay 20, 20212 updates tracked since enumeration
NPPES CertifiedMay 20, 2021
✔ NPI 1912509514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1243 E BROAD ST, Columbus, OH 43205
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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 Anthem Blue Cross and Blue Shield, Molina Healthcare.Insurance ›

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 36D2225985

Integrative Wellness Center · Columbus, OH
Active · expires May 24, 2027
CLIA Number36D2225985
Laboratory TypePhysician Office
Certificate Effective DateMay 25, 2025
Certificate Expiration DateMay 24, 2027
Laboratory DirectorLoliya Idoniboye
Laboratory Phone(614) 321-7856
Laboratory LocationIntegrative Wellness Center1243 E Broad Street, Columbus, OH 43205
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 15

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

DR. HARLEY MYRON BLANK M.D.
Obstetrics & Gynecology (Gynecology)
1243 E BROAD ST
COLUMBUS, OH 43205
Franklin County (146) 251-1800
HARLEY M. BLANK MD AND ASSOCIATES INC
Obstetrics & Gynecology (Gynecology)
1243 E BROAD ST
COLUMBUS, OH 43205
Franklin County (614) 251-1800
DR. LEE ALAN MORRIS
Counselor (Mental Health)
1243 E BROAD ST
COLUMBUS, OH 43205
Franklin County (614) 321-7856
RESOLVE WELLNESS
Community Based Residential Treatment Facility, Mental Illness
1243 E BROAD ST
COLUMBUS, OH 43205
Franklin County (614) 321-7734
KENNETH NWOGU CNP
Nurse Practitioner (Psychiatric/Mental Health)
1243 E BROAD ST
COLUMBUS, OH 43205
Franklin County (614) 321-7856
BENJAMIN BROWN
Peer Specialist
1243 E BROAD ST
COLUMBUS, OH 43205
Franklin County (614) 321-7734
JILL DEMATTEIS
Registered Nurse
1243 E BROAD ST
COLUMBUS, OH 43205
Franklin County (614) 321-7734
MEAIRA KOREEN PETERSON CDCA
Counselor (Addiction (Substance Use Disorder))
1243 E BROAD ST
COLUMBUS, OH 43205
Franklin County (614) 321-7734

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 Center's NPI number?

The NPI number for Integrative Wellness Center is 1912509514. It was assigned to this organization in the NPPES registry on November 10, 2020.

Where is Integrative Wellness Center located?

Integrative Wellness Center is located at 1243 E Broad St, Columbus, OH 43205. The listed phone number is (614) 321-7856.

What is Integrative Wellness Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Integrative Wellness Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2225985) is associated with this NPI, valid through May 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Integrative Wellness Center accept?

Health plans from Anthem Blue Cross and Blue Shield and Molina Healthcare list Integrative Wellness Center 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 Center was last updated on May 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.