Organization Active NPI

The Inner Truth Project

  • Clinical Social Worker
  • Port St Lucie, FL
National Provider Identifier
1356907919
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE INNER TRUTH PROJECT
Doing business as
The Inner Truth Project
Practice address
2190 NW Reserve Park Trce Ste 13
Port St Lucie, FL 34986-3328
Phone
(772) 200-4599
NPI assigned
May 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Authorized official

Name
Mrs. Mindi Fetterman
Title
Social Worker
Phone
(772) 200-4599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2190 NW Reserve Park Trce Ste 13
Port St Lucie, FL 34986-3328

Mailing address

2190 NW Reserve Park Trce Ste 13
Port St Lucie, FL 34986-3328
Phone (772) 200-4599

Other practice location 1

654 SE Monterey Rd
Stuart, FL 34994-4410
Phone (772) 667-9073

Other names 1

  • The Inner Truth Project Doing business as

National Provider Directory

National Provider Directory

Locations

2190 NW Reserve Park Trce
Ste 13
Port St Lucie, FL 34986
Phone (772) 200-4599

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": "1558224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1356907919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 NW RESERVE PARK TRCE STE 13",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863328",
            "telephone_number": "772-200-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 NW RESERVE PARK TRCE STE 13",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863328",
            "telephone_number": "772-200-4599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "654 SE Monterey Rd",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349944410",
            "country_code": "US",
            "telephone_number": "772-667-9073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE INNER TRUTH PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-19",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "FETTERMAN",
        "authorized_official_first_name": "MINDI",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "772-200-4599",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Inner Truth Project",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Inner Truth Project",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.