Inner Peace Counseling, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INNER PEACE COUNSELING, INC.

Practice address

1250 E Business Highway 151 Ste a-3
Platteville, WI 53818-3875

Phone

(608) 348-7474

Fax

(608) 348-7117

NPI assigned

Feb 10, 2020

Organization subpart

No

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

Authorized official

Name

Sandra Lynn Anderson, MS, LPC, NCCNPI 1689685364

Title

President

Phone

(608) 348-7474

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Sandra Lynn Anderson, MS LPC NCC

  • Mental Health Counselor
  • Platteville, WI
  • NPI 1689685364
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1164054946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 652",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538180652",
            "telephone_number": "608-348-7474",
            "fax_number": "608-348-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E BUSINESS HIGHWAY 151 STE A-3",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183875",
            "telephone_number": "608-348-7474",
            "fax_number": "608-348-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER PEACE COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-348-7474",
        "authorized_official_credential": "MS, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyssa Hovelson
• Jerome A Huebner, MD
• Matthew J Huppert, PHARMD
• Eduardo Ultiminio Ibarra, R.N.
• Mallory Imobersteg, COTA/L
• Alexus Jensen
• Daniel John Jones, D.C.
• Lisa Marie Jones
• Samantha Jordan, DPT
• JWDR Dialysis, PLLC

• Clinical Social Worker in Platteville, WI
• Providers in Platteville, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.