Active NPI
Inspired Therapeutic Solutions
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1588056212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC007537
- Legal business name
- INSPIRED THERAPEUTIC SOLUTIONS
- Practice address
- 505 S 22ND St
Philadelphia, PA 19146-1246 - Phone
- (267) 368-6630
- NPI assigned
- Mar 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lysa Monique Christine Jenkins-Hayden, BBA, MA, CH, LPC
- Title
- Chief Clinical Officer
- Phone
- (267) 368-6630
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC007537 | PA | Primary |
Addresses
Primary practice location
505 S 22ND St
Philadelphia, PA 19146-1246
Mailing address
6310 N 10TH St
1St Floor
Philadelphia, PA 19141-3804
Phone (267) 368-6630
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Philadelphia, PA
- NPI 1700297900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425427200000",
"number": "1588056212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6310 N 10TH ST",
"address_2": "1ST FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191413804",
"telephone_number": "267-368-6630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S 22ND ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191461246",
"telephone_number": "267-368-6630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSPIRED THERAPEUTIC SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-04",
"last_updated": "2015-03-04",
"status": "A",
"authorized_official_last_name": "JENKINS-HAYDEN",
"authorized_official_first_name": "LYSA MONIQUE",
"authorized_official_middle_name": "CHRISTINE",
"authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
"authorized_official_telephone_number": "267-368-6630",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "BBA, MA, CH, LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC007537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.