Inner Sanctum Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INNER SANCTUM COUNSELING LLC

Practice address

909 Linway Dr Ste 3
Goshen, IN 46526-2435

Phone

(574) 285-2078

NPI assigned

Aug 7, 2024

Organization subpart

No

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

Authorized official

Name

Timothy Lagro

Title

Owner

Phone

(614) 467-7481

Specialties & licenses 1

Addresses

Other names 1

• Inner Sanctum Counseling Doing business as

Locations

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1316777964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 LINWAY DR STE 3",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465262435",
            "telephone_number": "574-285-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 LINWAY DR STE 3",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465262435",
            "telephone_number": "574-285-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER SANCTUM COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "LAGRO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-467-7481"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Sanctum Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kiley Hutton
• Cassandra Lian Huys
• Melissa Hyselll
• Kennedy Iheanacho, MD
• Inner Sanctum Counseling
• Inside Track Physical Therapy & Wellness
• Shumaila Muhammad Iqbal
• Hassan Ishaq
• Maxim I Ivanov, D.C.
• Justin Ivers

• Mental Health Counselor in Goshen, IN
• Providers in Goshen, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.