Inner Circle Counseling and Consulting, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

INNER CIRCLE COUNSELING AND CONSULTING, LLC

Practice address

11343 Jordan CT
Fort Campbell, KY 42223-6080

Phone

(919) 374-0160

NPI assigned

Dec 19, 2024

Organization subpart

No

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

Authorized official

Name

Angela P Petty, LMFT

Title

Owner

Phone

(919) 374-0160

Specialties & licenses 1

Addresses

Practitioners 1

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

• Angela D Petty, LMFT

  • Marriage & Family Therapist
  • Fayetteville, NC
  • NPI 1962174383
  NPD

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1417765645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11343 JORDAN CT",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422236080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11343 JORDAN CT",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422236080",
            "telephone_number": "919-374-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER CIRCLE COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-374-0160",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Graham Hynson, D.M.D
• Luis R Ibarra, RN
• Victoria Ijames, LMSW
• Hannah Noel Imlay, MD
• Andrea Infantino
• Paloma Belle Irizarry, MD
• Olga Ivanov, PHARMD
• Christine A. Iverson
• Tawanna Ivey, LCSW
• Jared A Jackson, PH.D.

• Marriage & Family Therapist in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.