Wellness West LLC
NPI 1306569629 · Mental Health Clinic/Center (Including Community Mental Health Center) · Waukesha, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wellness West LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Waukesha, WI (NPI 1306569629).
Provider details
- NPI number
- 1306569629
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Vann, Owner/Psychologist(262) 259-4100
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-09-21
- Last updated
- 2022-09-21
- Certified
- 2022-09-21
Frequently asked questions
- What is Wellness West LLC's NPI number?
- Wellness West LLC's National Provider Identifier (NPI) is 1306569629, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wellness West LLC?
- Wellness West LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Wellness West LLC located?
- Wellness West LLC's practice location on file with NPPES is 2428 N Grandview Blvd Ste 101, Waukesha, WI 53188-6906.
- What is Wellness West LLC's phone number?
- The practice phone number listed in the NPPES registry for Wellness West LLC is (262) 259-4100.
- Does Wellness West LLC accept Medicare?
- Wellness West LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wellness West LLC?
- The authorized official listed on Wellness West LLC's NPPES record is Jennifer Vann, Owner/Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wellness West LLC's NPI active?
- Yes — Wellness West LLC's NPI (1306569629) is active in the NPPES registry as of the last update on 2022-09-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.