Your Inner Peace Counseling & Wellness

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

YOUR INNER PEACE COUNSELING & WELLNESS

Practice address

343 E Main St Ste 400
Stockton, CA 95202-3057

Phone

(209) 337-4870

Fax

(209) 625-1390

NPI assigned

Jan 23, 2023

Organization subpart

No

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

Authorized official

Name

Lecia Harrison, LCSWNPI 1407487200

Title

Mental Health Clinician

Phone

(209) 629-0572

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lecia Harrison, LCSW

  • Clinical Social Worker
  • Stockton, CA
  • NPI 1407487200
  NPD Authorized official

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1376258558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78012",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952671312",
            "telephone_number": "209-629-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E MAIN ST STE 400",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952023057",
            "telephone_number": "209-337-4870",
            "fax_number": "209-625-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR INNER PEACE COUNSELING & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "LECIA",
        "authorized_official_title_or_position": "MENTAL HEALTH CLINICIAN",
        "authorized_official_telephone_number": "209-629-0572",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yonie Young, L. AC
• Cheryl Ann Youngblood
• Lynell Bennett Youngblood, BA, CADCII, NCACII
• Kasandra Evette Younger
• Nhia Younger
• Walter Stanley Yourchek, MD
• Marleen Anne Yu-Li, MD
• Edmund Yu, DPM
• Jin Yu
• Phillip S Yu, MD

• Mental Health Counselor in Stockton, CA
• Providers in Stockton, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.