Inner Wisdom Therapy and Healing Arts, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INNER WISDOM THERAPY AND HEALING ARTS, LLC

Practice address

420 Williamson Way
Ashland, OR 97520-1251

Phone

(541) 948-9243

Fax

(541) 631-2599

NPI assigned

Jan 11, 2016

Last updated

Mar 30, 2017By 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

Linda Kovolisky, PMHNP

Title

Owner

Phone

(541) 948-9243

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

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.

• Gabriella Amarei, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Grants Pass, OR
  • NPI 1609937283
  Medicare reassignment
• Karen Hagerman Muller, PH.D.

  • Clinical Psychologist
  • Medford, OR
  • NPI 1336364066
  NPD (past)

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1437515160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 973",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975400973",
            "telephone_number": "541-948-9243",
            "fax_number": "541-631-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 WILLIAMSON WAY",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201251",
            "telephone_number": "541-948-9243",
            "fax_number": "541-631-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER WISDOM THERAPY AND HEALING ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "KOVOLISKY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-948-9243",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Ashland, OR
• Providers in Ashland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.