Inner Wellness Mental Health Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

005489-1 Issued in NY

Legal business name

INNER WELLNESS MENTAL HEALTH COUNSELING

Practice address

7405 Metropolitan Ave
Suite 2F
Middle Village, NY 11379-2636

Phone

(718) 635-0595

NPI assigned

Oct 18, 2016

Organization subpart

No

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

Authorized official

Name

Daemee Kim, LMHC

Title

Owner

Phone

(718) 635-0595

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1669923330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 METROPOLITAN AVE",
            "address_2": "SUITE 2F",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792636",
            "telephone_number": "718-635-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 METROPOLITAN AVE",
            "address_2": "SUITE 2F",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792636",
            "telephone_number": "718-635-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER WELLNESS MENTAL HEALTH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DAEMEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-635-0595",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005489-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.