Organization Active NPI

Inner Peace Psychotherapy, LLC

  • Professional Counselor
  • East Windsor, CT
National Provider Identifier
1023425964
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2570 Issued in CT
Legal business name
INNER PEACE PSYCHOTHERAPY, LLC
Practice address
9A Pasco Dr
East Windsor, CT 06088-1700
Phone
(860) 977-6272
NPI assigned
Jul 11, 2014
Last updated
Jul 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Authorized official

Name
Mrs. Kelly Marie PorterNPI 1972919413
Title
Psychotherapist LPC
Phone
(860) 977-6272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2570 CT Primary

Addresses

Primary practice location

9A Pasco Dr
East Windsor, CT 06088-1700

Mailing address

63 Foster LN
Windsor, CT 06095-2014
Phone (860) 977-6272

National Provider Directory

National Provider Directory

Locations

9A Pasco Dr
East Windsor, CT 06088
Phone (860) 331-4251

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1023425964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 FOSTER LN",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952014",
            "telephone_number": "860-977-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9A PASCO DR",
            "city": "EAST WINDSOR",
            "state": "CT",
            "postal_code": "060881700",
            "telephone_number": "860-977-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER PEACE PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST LPC",
        "authorized_official_telephone_number": "860-977-6272",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "2570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.