Inner Healing and Peace PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

INNER HEALING AND PEACE PLLC

Practice address

2910 Briarcliffe Rd
Winston Salem, NC 27106-3176

Phone

(336) 970-1697

NPI assigned

Oct 13, 2022

Organization subpart

No

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

Authorized official

Name

Kelly Martin Sink, LCMHC, CCTPNPI 1053875021

Title

Owner

Phone

(336) 970-1697

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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

• Kelly M Sink, LPCA

  • Mental Health Counselor
  • Winston Salem, NC
  • NPI 1053875021
  NPD Authorized official

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1376269100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 REEDY CREEK SCHOOL DR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272959760",
            "telephone_number": "336-970-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 BRIARCLIFFE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063176",
            "telephone_number": "336-970-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER HEALING AND PEACE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "SINK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-970-1697",
        "authorized_official_credential": "LCMHC, CCTP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWNER NPI NUMBER",
            "identifier": "1053875021",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "counselorkelly@innerhealingandpeace.com",
            "affiliation": "N",
            "endpointDescription": "Primary Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2910 Briarcliffe Rd",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271063176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jordan Scott Ingram, CRNA
• Khaliyah Beverly Shanette Ingram
• Tiffany Monique Ingram
• Joseph Lucas Inman, M.D.
• Stacey Hepler Inman, M.A., L.C.A.S, C.C.S
• Collin Innis, MD
• Innovation Healthcare Solution, PLLC
• Innovative Health & Rehab Consultants
• Innovative Pathways, Inc
• Insight Human Services

• Adult Mental Health Clinic/Center in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.