Incredibly Inspirational, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCS 16061 Issued in CA

Legal business name

INCREDIBLY INSPIRATIONAL, INC

Practice address

2009 Palo Verde Ave Ste a
Long Beach, CA 90815-3322

Phone

(562) 743-2389

NPI assigned

May 28, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Katherine Elaine Erickson, LCSWNPI 1346379419

Title

Ceo

Phone

(562) 743-2389

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Katherine Elaine Erickson, LCSW

  • Clinical Social Worker
  • Long Beach, CA
  • NPI 1346379419
  Medicare reassignment NPD Authorized official
• Andrea Sanserino, L.C.S.W.

  • Clinical Social Worker
  • Gardena, CA
  • NPI 1740322452
  Medicare reassignment NPD
• Christa Alair, LMFT

  • Marriage & Family Therapist
  • Santa Ana, CA
  • NPI 1265191324
  NPD (past)
• Andrew Vuong

  • Marriage & Family Therapist
  • Huntington Beach, CA
  • NPI 1154931418
  NPD (past)

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1639558232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 E ELIOT ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908032205",
            "telephone_number": "562-743-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 PALO VERDE AVE STE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153322",
            "telephone_number": "562-743-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCREDIBLY INSPIRATIONAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-743-2389",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCS 16061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Justin R Ingles, RADT1

• Community/Behavioral Health Agency in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.