Organization Active NPI

Inner Peace Counseling of Tampa Bay LLC

  • Clinical Social Worker
  • Riverview, FL
National Provider Identifier
1083434096
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INNER PEACE COUNSELING OF TAMPA BAY LLC
Practice address
6609 Gates Pointe Way
Riverview, FL 33578-1318
Phone
(706) 825-8424
Fax
(813) 374-8820
NPI assigned
Oct 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Mr. Kim Hunter Sahler, LCSWNPI 1497821474
Title
Owner
Phone
(706) 825-8424

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6609 Gates Pointe Way
Riverview, FL 33578-1318

Mailing address

6609 Gates Pointe Way
Riverview, FL 33578-1318
Phone (706) 825-8424

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1083434096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 GATES POINTE WAY",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335781318",
            "telephone_number": "706-825-8424",
            "fax_number": "813-374-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 GATES POINTE WAY",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335781318",
            "telephone_number": "706-825-8424",
            "fax_number": "813-374-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER PEACE COUNSELING OF TAMPA BAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "SAHLER",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-825-8424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.