Inner Wolf Wellness, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

INNER WOLF WELLNESS, LLC

Doing business as

Inner Wolf Wellness, LLC

Practice address

141 Mount Pleasant St
St Johnsbury, VT 05819-1139

Phone

(802) 793-2137

NPI assigned

Aug 25, 2022

Last updated

Aug 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Rodgers, LADC LCMHCNPI 1861965519

Title

Therapist

Phone

(802) 793-2853

Specialties & licenses 1

Addresses

Other names 1

• Inner Wolf Wellness, LLC Doing business as

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.

• Shannon J Rodgers, LADC, LCMHC

  • Counselor
  • St Johnsbury, VT
  • NPI 1861965519
  NPD Authorized official

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1174242846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MOUNT PLEASANT ST",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058191139",
            "telephone_number": "802-793-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MOUNT PLEASANT ST",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058191139",
            "telephone_number": "802-793-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER WOLF WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "802-793-2853",
        "authorized_official_credential": "LADC LCMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Wolf Wellness, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald J. Hunt, M.ED.
• William Stiles Huntington
• Priscilla A. Hutchins, ED.D.
• Idolyn V. Carnahan, Licsw, PLLC
• Lorraine Impey, APRN, BC, CGP
• Alexis Izzo
• Robert Joseph Jauch, MD
• Zongjian Jia, D.M.D.
• Jason Johns, CRNA
• Sandra Johnson-Long, LPN

• Adult Mental Health Clinic/Center in St Johnsbury, VT
• Providers in St Johnsbury, VT by specialty
• Adult Mental Health Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.