Insight Wellness Institute

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

INSIGHT WELLNESS INSTITUTE

Doing business as

Diana Muncy LMFT

Practice address

1005 Ream Ave
Mount Shasta, CA 96067

Phone

(530) 941-2259

NPI assigned

Jan 24, 2020

Organization subpart

No

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

Authorized official

Name

Diana Betz Muncy, LMFT

Title

Founder/Therapist

Phone

(530) 918-3491

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Diana Muncy LMFT Doing business as

Locations

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1356971626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 REAM AVE",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "96067",
            "telephone_number": "530-941-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 REAM AVE",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "96067",
            "telephone_number": "530-941-2259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5305 Tennis Ct",
            "address_purpose": "LOCATION",
            "city": "Weed",
            "state": "CA",
            "postal_code": "960949369",
            "country_code": "US",
            "telephone_number": "530-941-2259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSIGHT WELLNESS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "BETZ MUNCY",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "FOUNDER/THERAPIST",
        "authorized_official_telephone_number": "530-918-3491",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12788970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diana Muncy LMFT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Carol Jenkins
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• Mental Health Clinic/Center (Including Community Mental Health Center) in Mount Shasta, CA
• Providers in Mount Shasta, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.