LASTING WELLNESS LLC
NPI 1922649987
Psychologist - Clinical in Clarks Summit, PA

Active since October 01, 2019
116 DEPOT ST APT 2, CLARKS SUMMIT, PA 18411(570) 507-7649 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lasting Wellness Llc NPPES

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

LASTING WELLNESS LLC (NPI 1922649987) is a healthcare organization registered as a clinical in Clarks Summit, Pennsylvania and active in the NPI registry since October 2019. The organization lists Lindsay St Thomas, Owner, as its authorized official.

NPPES Registry Identity

NPI1922649987
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLASTING WELLNESS LLC
Location Address116 DEPOT ST APT 2Clarks Summit, PA 18411-1878
Mailing Address6 Belle TerCovington Twp, PA 18424-7809 · (858) 204-1082
Organization SubpartNo
Authorized OfficialLindsay St ThomasOwner · (858) 204-1082
Enumeration DateOctober 1, 2019
✔ NPI 1922649987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
116 DEPOT ST APT 2, Clarks Summit, PA 18411

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lasting Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lasting Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1093889842
116 DEPOT ST APT 2
Clarks Summit, PA 18411
(570) 507-7649
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lasting Wellness LLC's NPI number?

The NPI number for Lasting Wellness LLC is 1922649987. It was assigned to this organization in the NPPES registry on October 1, 2019.

Where is Lasting Wellness LLC located?

Lasting Wellness LLC is located at 116 Depot St Apt 2, Clarks Summit, PA 18411. The listed phone number is (570) 507-7649.

What is Lasting Wellness LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lasting Wellness LLC enrolled in Medicare?

Yes. Lasting Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lasting Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Lasting 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lasting Wellness LLC was last updated on October 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.