Organization Active NPI

Inspired Therapeutic Services

  • Professional Counselor
  • Memphis, TN
National Provider Identifier
1174896492
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0000002465 Issued in TN
Legal business name
INSPIRED THERAPEUTIC SERVICES
Practice address
5830 Mount Moriah Rd
Suite 20
Memphis, TN 38115-1607
Phone
(901) 244-6182
NPI assigned
Feb 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Veronica Wade, LPC-MHSP
Title
Co-Owner
Phone
(901) 647-8522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPC0000002465 TN Primary

Addresses

Primary practice location

5830 Mount Moriah Rd
Suite 20
Memphis, TN 38115-1607

Mailing address

5830 Mount Moriah Rd
Suite 20
Memphis, TN 38115-1607
Phone (901) 244-6182

Other identifiers 1

IdentifierTypeStateIssuer
1525818MedicaidTN

National Provider Directory

National Provider Directory

Locations

5830 Mount Moriah Rd
Ste 20
Memphis, TN 38115
Phone (901) 244-6182

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1174896492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 MOUNT MORIAH RD",
            "address_2": "SUITE 20",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151607",
            "telephone_number": "901-244-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 MOUNT MORIAH RD",
            "address_2": "SUITE 20",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151607",
            "telephone_number": "901-244-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "901-647-8522",
        "authorized_official_credential": "LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000002465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525818",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.