I'M Your Therapist, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

I'M YOUR THERAPIST, LLC

Practice address

1715 Indian Wood Cir Ste 200
Maumee, OH 43537-4055

Phone

(269) 339-8531

NPI assigned

Apr 24, 2021

Organization subpart

No

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

Authorized official

Name

Diana Orns-Grant, LISWNPI 1346677838

Title

Owner

Phone

(269) 339-8531

Specialties & licenses 1

Addresses

Tax ID family

I'M Your Therapist LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• I'M Your Therapist, LLC

  • Community/Behavioral Health Agency
  • Maumee, OH
  • NPI 1063093292
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana L Orns-Grant, LISW

  • Clinical Social Worker
  • Maumee, OH
  • NPI 1346677838
  NPD Authorized official

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

{
    "created_epoch": "1619222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619222400000",
    "number": "1003498585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4397 FANGBONER RD",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434209360",
            "telephone_number": "269-339-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 INDIAN WOOD CIR STE 200",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374055",
            "telephone_number": "269-339-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I'M YOUR THERAPIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-24",
        "last_updated": "2021-04-24",
        "certification_date": "2021-04-24",
        "status": "A",
        "authorized_official_last_name": "ORNS-GRANT",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-339-8531",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Humbert, RBT
• Tejia Hunter
• William Riley Hupp Jr., LISW
• James Jacob Huttner, M.D.
• Jasmine Marie Hyde
• I'M Your Therapist, LLC
• Richard J Iarussi, M.D.
• Kennedy Ibarra, BCBA
• Illumia Health LLC
• Independence Health LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Maumee, OH
• Providers in Maumee, OH by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2021; 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.