Organization Active NPI

Inner Growth Therapy LLC

  • Mental Health Counselor
  • Roxbury, MA
National Provider Identifier
1215669106
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INNER GROWTH THERAPY LLC
Practice address
1 Centre Street Ter Apt 1a
Roxbury, MA 02119-1488
Phone
(857) 492-4229
NPI assigned
Jun 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Minelia Rodriguez-Ortiz, LMHC
Title
Psychotherapist
Phone
(857) 492-4229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1 Centre Street Ter Apt 1a
Roxbury, MA 02119-1488

Mailing address

28 Church Street
Suite 14 # 915
Winchester, MA 01890-2538
Phone (617) 681-4999

National Provider Directory

National Provider Directory

Locations

28 Church St
Ste 14
Winchester, MA 01890
Phone (508) 561-3410

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1215669106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CHURCH STREET",
            "address_2": "SUITE 14 # 915",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902538",
            "telephone_number": "617-681-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CENTRE STREET TER APT 1A",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191488",
            "telephone_number": "857-492-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER GROWTH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ-ORTIZ",
        "authorized_official_first_name": "MINELIA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "857-492-4229",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.