Innerspace Professional Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INNERSPACE PROFESSIONAL COUNSELING

Practice address

5605 Finch Dr Apt 215
Longview, WA 98632-9244

Phone

(479) 244-0453

NPI assigned

Sep 3, 2024

Organization subpart

No

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

Authorized official

Name

Sara SmithNPI 1497124994

Title

Owner

Phone

(479) 244-0453

Specialties & licenses 2

Addresses

Practitioners 1

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

• Sara A Smith

  • Mental Health Counselor
  • Berryville, AR
  • NPI 1497124994
  NPD Authorized official

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1609601400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 1ST AVE STE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 FINCH DR APT 215",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986329244",
            "telephone_number": "479-244-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERSPACE PROFESSIONAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-244-0453"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Idlett
• Norhana Malawi Imam, DPT
• Megann Imdieke
• Jackilyn Imper, MSW
• Inner Peace Healing & Massage
• Josh Ipock, CAAR
• Majd Isreb, M.D.
• Amy Iverson, PHARMD
• Sybil M Iverson, CDP
• Teresa J Iverson

• Mental Health Counselor in Longview, WA
• Providers in Longview, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.