Organization Active NPI

Inspiring Lotus Healing Sanctuary

  • Mental Health Counselor
  • Virginia Beach, VA
National Provider Identifier
1114577582
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INSPIRING LOTUS HEALING SANCTUARY
Practice address
923 First Colonial Rd Ste 1817
Virginia Beach, VA 23454-3182
Phone
(315) 591-6605
Fax
(757) 512-5714
NPI assigned
Sep 17, 2019
Last updated
May 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Miss Jennifer Lynn Kinzie, MS, LPC, LMHC
Title
Owner/Director
Phone
(315) 591-6605

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

923 First Colonial Rd Ste 1817
Virginia Beach, VA 23454-3182

Mailing address

4001 County St
Portsmouth, VA 23707-2903
Phone (315) 591-6605

Other practice location 1

2610 S Salina St Ste 3
Syracuse, NY 13205-1540
Phone (315) 591-6605

National Provider Directory

National Provider Directory

Locations

2610 S Salina St
Ste 3
Syracuse, NY 13205
Phone (315) 591-6605

923 First Colonial Rd
Ste 1817
Virginia Beach, VA 23454
Phone (757) 685-4453

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": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1114577582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 COUNTY ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237072903",
            "telephone_number": "315-591-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 FIRST COLONIAL RD STE 1817",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543182",
            "telephone_number": "315-591-6605",
            "fax_number": "757-512-5714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2610 S Salina St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132051540",
            "country_code": "US",
            "telephone_number": "315-591-6605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSPIRING LOTUS HEALING SANCTUARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "KINZIE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "315-591-6605",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS, LPC, LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.