Inner Peace Therapy Services PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INNER PEACE THERAPY SERVICES PLLC

Practice address

142 Brighton Lake Rd Ste 16
Brighton, MI 48116-1738

Phone

(989) 890-8228

NPI assigned

Apr 16, 2024

Organization subpart

No

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

Authorized official

Name

Kayla R Mockridge, LMSWNPI 1497275713

Title

Owner/Mental Health Therapist

Phone

(989) 890-8228

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kayla Mockridge, LMSW

  • Clinical Social Worker
  • Brighton, MI
  • NPI 1497275713

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1013761956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 BRIGHTON LAKE RD STE 16",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161738",
            "telephone_number": "989-890-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 BRIGHTON LAKE RD STE 16",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161738",
            "telephone_number": "989-890-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER PEACE THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "MOCKRIDGE",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "989-890-8228",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Brighton, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.