{"npi":"1609413848","type":"NPI-2","status":"active","name":{"display":"Well Within, LLC","other":[],"organization_name":"WELL WITHIN, LLC","authorised_official":"Karen Clum"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"15 BISHOP DR STE 204","city":"WESTERVILLE","state":"OH","postal_code":"430812276","country_code":"US","phone":"6142935933","fax":"6144741515"},{"purpose":"MAILING","street_1":"15 BISHOP DR STE 204","city":"WESTERVILLE","state":"OH","postal_code":"430812276","country_code":"US","phone":"6143925933","fax":"6144741515"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"0123278","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20241204001957","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OH","pac_id":"0244766004"}]},"enumeration_date":"2019-12-06","last_updated":"2025-07-21","_meta":{"source":"NPPES","snapshot_date":"2025-07-21","doc_url":"https://findmynpi.com/api"}}