NPIMap

Organization Active NPI

Inner Light Therapy LLC

Doing business as Inner Light Transformation and Therapy Center

  • Professional Counselor
  • Anchorage, AK
National Provider Identifier
1356059125
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
INNER LIGHT THERAPY LLC
Doing business as
Inner Light Transformation and Therapy Center
Practice address
1131 E 76TH Ave Ste 201
Anchorage, AK 99518-3209
Phone
(907) 205-7887
Fax
(907) 206-7203
NPI assigned
Nov 10, 2022
Last updated
Nov 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Shanna S. Simmons, MS, LPC, NCCNPI 1770137457
Title
Owner/Clinical Manager
Phone
(907) 205-7887

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

1131 E 76TH Ave Ste 201
Anchorage, AK 99518-3209

Mailing address

1131 E 76TH Ave Ste 201
Anchorage, AK 99518-3209
Phone (907) 205-7887

Other identifiers 1

IdentifierTypeStateIssuer
185850OtherAKSTATE OF ALASKA, PROFESSIONAL LICENSING DIVISION

Other names 1

  • Inner Light Transformation and Therapy Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1356059125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 E 76TH AVE STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183209",
            "telephone_number": "907-205-7887",
            "fax_number": "907-206-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 E 76TH AVE STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183209",
            "telephone_number": "907-205-7887",
            "fax_number": "907-206-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER LIGHT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/CLINICAL MANAGER",
        "authorized_official_telephone_number": "907-205-7887",
        "authorized_official_credential": "MS, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ALASKA, PROFESSIONAL LICENSING DIVISION",
            "identifier": "185850",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Light Transformation and Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

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