Inner Peace Counseling & Wellness

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INNER PEACE COUNSELING & WELLNESS

Practice address

334 E Lake Rd Dept 280
Palm Harbor, FL 34685-2427

Phone

(888) 732-2313

Fax

(561) 559-4005

NPI assigned

Oct 12, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Tyler M Bonwit

Title

Ceo, Director

Phone

(888) 732-2313

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Simple Solutions Doing business as

Electronic endpoints 2

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614988800000",
    "number": "1134727274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 E LAKE RD DEPT 280",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852427",
            "telephone_number": "888-732-2313",
            "fax_number": "727-274-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 E LAKE RD DEPT 280",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852427",
            "telephone_number": "888-732-2313",
            "fax_number": "561-559-4005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7616 Eddy Rd",
            "address_purpose": "LOCATION",
            "city": "Colden",
            "state": "NY",
            "postal_code": "140339744",
            "country_code": "US",
            "telephone_number": "855-750-0755",
            "fax_number": "929-999-3969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNER PEACE COUNSELING & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A",
        "authorized_official_last_name": "BONWIT",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO, DIRECTOR",
        "authorized_official_telephone_number": "888-732-2313",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "742078",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dm.endpoint@innerpeacecw.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email with End to End Encryption",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Simple requests, webmaster will initiate password protected encrypted data link.",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "334 E Lake Rd Dept 280",
            "city": "Palm Harbor",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346852427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://hooks.slack.com/services/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",
            "affiliation": "Y",
            "endpointDescription": "Direct Message / HIE - SlackHookurl",
            "affiliationName": "Inner Peace Counseling & Wellness",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "334 E Lake Rd Dept 280",
            "city": "Palm Harbor",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346852427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Simple Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; 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.