{"npi":"1306609128","type":"NPI-2","status":"active","name":{"display":"Total Wellness Center LLC","other":[],"organization_name":"TOTAL WELLNESS CENTER LLC","authorised_official":"Sarah Tyler"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"261QM0801X","description":"Mental Health Clinic/Center (Including Community Mental Health Center)","primary":false,"state":null,"license":null},{"code":"261QM1300X","description":"Multi-Specialty Clinic/Center","primary":false,"state":null,"license":null},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"300 W DIXIE AVE STE 200","city":"ELIZABETHTOWN","state":"KY","postal_code":"427011765","country_code":"US","phone":"2709820855","fax":"2709820866"},{"purpose":"MAILING","street_1":"300 W DIXIE AVE STE 200","city":"ELIZABETHTOWN","state":"KY","postal_code":"427011765","country_code":"US","phone":"2709820855","fax":"2709820866"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"7100967850","state":"KY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20241217004260","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"KY","pac_id":"6002343886"}]},"enumeration_date":"2024-02-05","last_updated":"2025-11-05","_meta":{"source":"NPPES","snapshot_date":"2025-11-05","doc_url":"https://findmynpi.com/api"}}