Organization Active NPI

Michelle and Glenn Vrooman LLC

Doing business as Inner Peace Psychotherapy

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1083491484
Registry record updated Oct 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MICHELLE AND GLENN VROOMAN LLC
Doing business as
Inner Peace Psychotherapy
Practice address
2130 Academy Cir Ste E
Colorado Springs, CO 80909-1661
Phone
(719) 459-2097
Fax
(719) 418-6296
NPI assigned
Sep 11, 2023
Last updated
Oct 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2023

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

Authorized official

Name
Mrs. Michelle Lynn Vrooman, LCSWNPI 1114469152
Title
Therapist/Owner
Phone
(719) 459-2097

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Group Psychotherapy Psychologist 103TP2701X

Addresses

Primary practice location

2130 Academy Cir Ste E
Colorado Springs, CO 80909-1661

Mailing address

2130 Academy Cir Ste E
Colorado Springs, CO 80909-1661
Phone (719) 459-2097

Other names 1

  • Inner Peace Psychotherapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240104000311 CO Part B Supplier - Clinic/Group Practice 8325499361 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

2130 Academy Cir
Ste E
Colorado Springs, CO 80909
Phone (719) 459-2097

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": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697241600000",
    "number": "1083491484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 ACADEMY CIR STE E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091661",
            "telephone_number": "719-459-2097",
            "fax_number": "719-418-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 ACADEMY CIR STE E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091661",
            "telephone_number": "719-459-2097",
            "fax_number": "719-418-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE AND GLENN VROOMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-10-14",
        "certification_date": "2023-10-14",
        "status": "A",
        "authorized_official_last_name": "VROOMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "719-459-2097",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Peace Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Inner Peace Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.