Organization Active NPI

Inward Bound Health Solutions LLC

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1427323872
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3463 Issued in OK
Legal business name
INWARD BOUND HEALTH SOLUTIONS LLC
Practice address
1111 N Lee Ave Ste 214
Oklahoma City, OK 73103-2620
Phone
(405) 516-0343
Fax
(405) 516-0344
NPI assigned
Mar 19, 2012
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Todd Palmer, LPC LADCNPI 1306094818
Title
Ceo
Phone
(405) 516-0343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3463 OK Primary

Addresses

Primary practice location

1111 N Lee Ave Ste 214
Oklahoma City, OK 73103-2620

Mailing address

1111 N Lee Ave Ste 214
Oklahoma City, OK 73103-2620
Phone (405) 516-0343

Other practice location 1

1611 N Broadway Ave
Oklahoma City, OK 73103-4601
Phone (405) 516-0343

Other identifiers 1

IdentifierTypeStateIssuer
200515110AMedicaidOK

Other names 1

  • An Inward Bound Family Counseling Center LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210601001087 OK Part B Supplier - Clinic/Group Practice 3971902693 Receives reassigned benefits from 3 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

409 S Fretz Ave
Ste B
Edmond, OK 73003

1111 N Lee Ave
Ste 214
Oklahoma City, OK 73103
Phone (405) 516-0343

1611 N Broadway Ave
Oklahoma City, OK 73103
Phone (405) 204-5157

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1427323872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N LEE AVE STE 214",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032620",
            "telephone_number": "405-516-0343",
            "fax_number": "405-516-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N LEE AVE STE 214",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032620",
            "telephone_number": "405-516-0343",
            "fax_number": "405-516-0344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 N Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731034601",
            "country_code": "US",
            "telephone_number": "405-516-0343",
            "fax_number": "405-516-0344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INWARD BOUND HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-516-0343",
        "authorized_official_credential": "LPC LADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200515110A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "An Inward Bound Family Counseling Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.