Organization Active NPI

Inner Dynamics

  • Mental Health Counselor
  • Oak Creek, WI
National Provider Identifier
1245347459
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INNER DYNAMICS
Practice address
8825 S. Howell Ave
#305
Oak Creek, WI 53154-3762
Phone
(414) 276-3856
Fax
(414) 235-9139
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Authorized official

Name
Ms. Deborah Lau SchingenNPI 1447366471
Title
President
Phone
(414) 276-3856

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

8825 S. Howell Ave
#305
Oak Creek, WI 53154-3762

Mailing address

8825 S. Howell Ave
#305
Oak Creek, WI 53154-3762
Phone (414) 276-3856

Other identifiers 1

IdentifierTypeStateIssuer
42110400MedicaidWI

National Provider Directory

National Provider Directory

Locations

8825 S Howell Ave
Ste 305
Oak Creek, WI 53154
Phone (262) 744-4090

Practitioners & affiliated clinicians

Practitioners 1

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": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1245347459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 S. HOWELL AVE",
            "address_2": "#305",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543762",
            "telephone_number": "414-276-3856",
            "fax_number": "414-235-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 S. HOWELL AVE",
            "address_2": "#305",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543762",
            "telephone_number": "414-276-3856",
            "fax_number": "414-235-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER DYNAMICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "SCHINGEN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LAU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-276-3856",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42110400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.