The Place Within

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE PLACE WITHIN

Practice address

720 Sunrise Ave #D115
Roseville, CO 95661

Phone

(916) 772-6158

Fax

(916) 772-6178

NPI assigned

Feb 21, 2019

Last updated

Feb 21, 2019By 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

Mr. Gary Lynn Henderson, LMFT

Title

Director

Phone

(916) 772-6158

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1033676457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SUNRISE AVE #D115",
            "city": "ROSEVILLE",
            "state": "CO",
            "postal_code": "95661",
            "telephone_number": "916-772-6158",
            "fax_number": "916-772-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SUNRISE AVE #D115",
            "city": "ROSEVILLE",
            "state": "CO",
            "postal_code": "95661",
            "telephone_number": "916-772-6158",
            "fax_number": "916-772-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PLACE WITHIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "916-772-6158",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.