Innerview, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC003074 Issued in GA

Legal business name

INNERVIEW, LLC

Practice address

1640 Powers Ferry Rd SE Ste 200
Marietta, GA 30067-5491

Phone

(404) 433-9068

NPI assigned

Feb 26, 2018

Last updated

Feb 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kimya Eshe Hodari, LPCNPI 1760627228

Title

Licensed Professional Counselor

Phone

(404) 433-9068

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Kimya Eshe Hodari, LPC

  • Professional Counselor
  • Marietta, GA
  • NPI 1760627228
  NPD Authorized official

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519603200000",
    "number": "1376044271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3682 UTOY DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318617",
            "telephone_number": "404-433-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 POWERS FERRY RD SE STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675491",
            "telephone_number": "404-433-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERVIEW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A",
        "authorized_official_last_name": "HODARI",
        "authorized_official_first_name": "KIMYA",
        "authorized_official_middle_name": "ESHE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "404-433-9068",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC003074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LICENSE",
            "identifier": "LPC003074",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.