Organization Active NPI

Inner Journey Consulting LLC

  • Mental Health Counselor
  • Wauwatosa, WI
National Provider Identifier
1639816366
Registry record updated May 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INNER JOURNEY CONSULTING LLC
Practice address
1505 N. 60TH Street
Wauwatosa, WI 53208-2153
Phone
(414) 526-0982
NPI assigned
May 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2022

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

Authorized official

Name
Mr. Carl T Vitense, LCSWNPI 1811282536
Title
Owner/Psychotherapist
Phone
(414) 526-0982

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1505 N. 60TH Street
Wauwatosa, WI 53208-2153

Mailing address

1505 N. 60TH Street
Wauwatosa, WI 53208-2153
Phone (414) 526-0982

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1652572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652572800000",
    "number": "1639816366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 N. 60TH STREET",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532082153",
            "telephone_number": "414-526-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 N. 60TH STREET",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532082153",
            "telephone_number": "414-526-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER JOURNEY CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-15",
        "last_updated": "2022-05-15",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "VITENSE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "414-526-0982",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2022; 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.