Organization Active NPI

Inner Resource Psychotherapy

  • Community/Behavioral Health Agency
  • Kingsland, GA
National Provider Identifier
1023408622
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INNER RESOURCE PSYCHOTHERAPY
Practice address
140 The Lakes Blvd Ste 225
Kingsland, GA 31548-5667
Phone
(904) 310-4325
Fax
(904) 895-6057
NPI assigned
Feb 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Amy Beth Otzel, LPC, LMHC
Title
Sole Manager/Member & Counselor
Phone
(904) 310-4325

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 002098 CT
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

140 The Lakes Blvd Ste 225
Kingsland, GA 31548-5667

Mailing address

140 The Lakes Blvd Ste 225
Kingsland, GA 31548-5667
Phone (904) 310-4325

Other names 1

  • Inner Resource Psychotherapy, LLC Other name

National Provider Directory

National Provider Directory

Locations

392 S Main St
Ste 7
Colchester, CT 06415

140 The Lakes Blvd
Ste 225
Kingsland, GA 31548
Phone (904) 310-4325

1201 Shadowlawn Dr
Ste 104
Saint Marys, GA 31558
Phone (904) 310-4325

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1023408622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 THE LAKES BLVD STE 225",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315485667",
            "telephone_number": "904-310-4325",
            "fax_number": "904-895-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 THE LAKES BLVD STE 225",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315485667",
            "telephone_number": "904-310-4325",
            "fax_number": "904-895-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER RESOURCE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "OTZEL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "SOLE MANAGER/MEMBER & COUNSELOR",
        "authorized_official_telephone_number": "904-310-4325",
        "authorized_official_credential": "LPC, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002098",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Resource Psychotherapy, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kingsland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.