WHOLENESS HEALING CENTER PC – Mental Health Counselor, NPI 1124130364
Mental Health Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for WHOLENESS HEALING CENTER PC
10361 Woodrose Ln
Highlands Ranch, CO 801295477
Phone: (308) 382-5297
Fax: (308) 382-5315
Type: Location
100 N 15th St
Ord, NE 688621458
Phone: (308) 382-5297
Fax: (308) 382-5315
Type: Location
414 W Main St
Albion, NE 686201231
Phone: (308) 382-5297
Fax: (308) 382-5315
Type: Location
10361 WOODROSE LN
HIGHLANDS RANCH, CO 801295477
Phone: (308) 382-5297
Fax: (308) 382-5315
Type: Location
Wholeness Healing Center, 2608, Old Fair Road, Grand Island, Hall County, Nebraska, 68801, United States
GRAND ISLAND, NE 688035271
Phone: (308) 382-5297
Fax: (308) 382-5315
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-06-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-07-31 (680 days ago).
Enrollment records
2
Earliest due date
2024-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20050105000266 | O | Clinic/Group Practice | NE | 2024-07-31 |
| O20210624001637 | O | Clinic/Group Practice | CO | 2026-06-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80129)
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