Innovative Community Resource Specialist

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

INNOVATIVE COMMUNITY RESOURCE SPECIALIST

Practice address

3535 NW 58TH St Ste 870E
Oklahoma City, OK 73112-4804

Phone

(405) 205-8346

NPI assigned

Aug 18, 2010

Last updated

Dec 3, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leesa Lacey, MA, LPCNPI 1932431749

Title

President

Phone

(405) 702-9032

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leesa Lacey

  • Mental Health Counselor
  • Okc, OK
  • NPI 1932431749
  Authorized official Same address or phone
• Jennifer Matlock-Boggs, M.ED

  • Mental Health Counselor
  • Oklahoma City, OK
  • NPI 1629308259
  NPD (past)
• Jennifer Williams, LMFT LPC

  • Mental Health Counselor
  • Oklahoma City, OK
  • NPI 1649501917
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1003121724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 NW 58TH ST STE 870E",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124804",
            "telephone_number": "405-702-9032",
            "fax_number": "405-702-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 NW 58TH ST STE 870E",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124804",
            "telephone_number": "405-205-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE COMMUNITY RESOURCE SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "LACEY",
        "authorized_official_first_name": "LEESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-702-9032",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inner Peace Pastoral Counseling, PLLC
• Inner Peace Therapy, Inc.
• Inner Treasures
• Inner Work Holistic Wellness and Counseling LLC
• Innova, LLC (INNOVA Home Health)
• Innovative Medical Associates PLLC
• Innovative Prothestics and Research, LLC
• Innovative Senior Care Home Health of Edmond LLC (Assured Home Health of Oklahoma City)
• Innovo Counseling and Consulting, Inc.
• Inoveon Corporation

• Professional Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.