Organization Active NPI

Inner Peace Psychological Services and Integrative Wellness Center

  • Professional Counselor
  • Cary, NC
National Provider Identifier
1609132901
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7877 Issued in NC
Legal business name
INNER PEACE PSYCHOLOGICAL SERVICES AND INTEGRATIVE WELLNESS CENTER
Practice address
102 Towerview CT
Cary, NC 27513-3595
Phone
(919) 594-6510
Fax
(919) 666-0039
NPI assigned
Apr 11, 2012
Last updated
Oct 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Ms. Jennifer Allyn Schaal, LPC,NCCNPI 1619292810
Title
Practice Owner and Therapist
Phone
(814) 450-1608

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 7877 NC Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 2009-01396 NC
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 195204 NC
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 50-02016 NC

Addresses

Primary practice location

102 Towerview CT
Cary, NC 27513-3595

Mailing address

102 Towerview CT
Cary, NC 27513-3595
Phone (919) 594-6510

National Provider Directory

National Provider Directory

Locations

102 Towerview Ct
Cary, NC 27513
Phone (919) 594-6510

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": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1609132901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 TOWERVIEW CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133595",
            "telephone_number": "919-594-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 TOWERVIEW CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133595",
            "telephone_number": "919-594-6510",
            "fax_number": "919-666-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER PEACE PSYCHOLOGICAL SERVICES AND INTEGRATIVE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "SCHAAL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ALLYN",
        "authorized_official_title_or_position": "PRACTICE OWNER AND THERAPIST",
        "authorized_official_telephone_number": "814-450-1608",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC,NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7877",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2009-01396",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "195204",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "50-02016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.