NPIMap

Organization Active NPI

Innersight Counseling Professionals LLC

  • Mental Health Counselor
  • Washington Township, OH
National Provider Identifier
1538445549
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INNERSIGHT COUNSELING PROFESSIONALS LLC
Practice address
7905 Schatz Pointe Dr Ste 104
Washington Township, OH 45459-0001
Phone
(937) 426-2113
Fax
(937) 426-2114
NPI assigned
Oct 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Kelly Selover, M.S., LPCC-S, CDCANPI 1124338223
Title
Supervising Clinical Counselor
Phone
(937) 426-2113

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

7905 Schatz Pointe Dr Ste 104
Washington Township, OH 45459-0001

Mailing address

P.O. Box 383
Tipp City, OH 45371

National Provider Directory

National Provider Directory

Locations

7905 Schatz Pointe Dr
Ste 104
Washington Township, OH 45459
Phone (937) 426-2113

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1538445549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 383",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "45371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 SCHATZ POINTE DR STE 104",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454590001",
            "telephone_number": "937-426-2113",
            "fax_number": "937-426-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERSIGHT COUNSELING PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "SELOVER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "SUPERVISING CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "937-426-2113",
        "authorized_official_credential": "M.S., LPCC-S, CDCA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.