Organization Active NPI

Inner Sanctum Counseling

  • Professional Counselor
  • Goshen, IN
National Provider Identifier
1336877232
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
INNER SANCTUM COUNSELING
Practice address
909 Linway Dr Ste 3
Goshen, IN 46526-2435
Phone
(574) 285-2078
NPI assigned
Aug 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
Timothy Largo
Title
Therapist
Phone
(574) 285-2078

Specialties & licenses 1

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

Addresses

Primary practice location

909 Linway Dr Ste 3
Goshen, IN 46526-2435

Mailing address

909 Linway Dr Ste 3
Goshen, IN 46526-2435
Phone (574) 285-2078

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1336877232",
    "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",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "LARGO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "574-285-2078"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.