Innergy Wellness Consultation

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

INNERGY WELLNESS CONSULTATION

Practice address

545 Collins Way
Montrose, CO 81403-7612

Phone

(303) 968-6123

NPI assigned

Aug 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Tabitha Price, PSY.DNPI 1144498171

Title

Clinical Director

Phone

(303) 968-6123

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

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

• Tabitha P Price, PSYD

  • Clinical Psychologist
  • Montrose, CO
  • NPI 1144498171
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1215760210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 COLLINS WAY",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814037612",
            "telephone_number": "303-968-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 COLLINS WAY",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814037612",
            "telephone_number": "303-968-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERGY WELLNESS CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "303-968-6123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy G Icasiano, P.T.
• Karen S Ickes, MA
• Laura Ann Ickes, MS
• Ignite Change Counseling, LLC
• In Motion Hand Therapy Inc
• Insuracaid Dental, LLC
• Integrated Dermatology of Montrose, LLC
• Integrated Insight Therapy, LLC
• Integrated Insight Therapy, LLC
• Integrated Insight Therapy, LLC

• Adult Mental Health Clinic/Center in Montrose, CO
• Providers in Montrose, CO by specialty
• Adult Mental Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.