Intentional Living, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INTENTIONAL LIVING, LLC

Doing business as

INTENTIONAL LIVING, LLC

Practice address

16308 Elkhorn LN
Bowie, MD 20716-3259

Phone

(301) 659-6162

Fax

(443) 331-4441

NPI assigned

Sep 19, 2023

Organization subpart

No

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

Authorized official

Name

Krystle TinsleyNPI 1003321779

Title

Owner

Phone

(301) 659-6162

Specialties & licenses 1

Addresses

Other names 1

• INTENTIONAL LIVING, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

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

• Krystle Linnette Tinsley

  • Clinical Social Worker
  • Silver Spring, MD
  • NPI 1003321779

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1568240604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16308 ELKHORN LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163259",
            "telephone_number": "301-659-6162",
            "fax_number": "443-331-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16308 ELKHORN LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163259",
            "telephone_number": "301-659-6162",
            "fax_number": "443-331-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "TINSLEY",
        "authorized_official_first_name": "KRYSTLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-659-6162"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTENTIONAL LIVING, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Inner Peace & Clarity Psychotherapy LLC
• Innocent Medical Services LLC
• Insight Behavioral Services, LLC
• Intelkinetic Therapeutic Connections LLC
• Intellistars ABA MD
• Interim Healthcare of Prince George'S County
• International Healing Foundation
• Invein Inc
• Glory Patrick Inwang Johnson, RN
• Jennifer Lynn Inzer, CRNP

• Clinical Social Worker in Bowie, MD
• Providers in Bowie, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.