Intentional Healing Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

INTENTIONAL HEALING INC

Practice address

5858 Wenninghoff Rd Ste 3
Omaha, NE 68134-1911

Phone

(402) 594-8069

NPI assigned

Sep 28, 2022

Last updated

Sep 28, 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

Elisha Suttles, PLMHPNPI 1205569936

Title

Mental Health Therapist

Phone

(402) 594-8069

Specialties & licenses 1

Addresses

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.

• Elisha Suttles, PLMHP

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1205569936
  NPD Authorized official

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1174247761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 MAPLEWOOD BLVD APT 28",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681345438",
            "telephone_number": "402-594-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 WENNINGHOFF RD STE 3",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341911",
            "telephone_number": "402-594-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL HEALING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "SUTTLES",
        "authorized_official_first_name": "ELISHA",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "402-594-8069",
        "authorized_official_credential": "PLMHP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrity First Care
• Integrity Lawn Kingz
• Integrity Supports & Services, LLC
• Intelliride, a Division of Transdev
• Intelliride, a Division of Transdev
• Intentional Healing of Omaha (Intentional Healing)
• Internal Medicine Physicians P.C.
• International Caregaver LLC
• International Eyecare Center Inc (Malbar Vision)
• International Eyecare Center Inc (Malbar Vision)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.