Inner Peaces Counseling and Consulting LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

INNER PEACES COUNSELING AND CONSULTING LLC

Practice address

73 W Monroe St Ste 228
Chicago, IL 60603-4955

Phone

(773) 413-8054

NPI assigned

Jan 24, 2020

Last updated

Apr 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anancia StaffordNPI 1306327358

Title

Owner/Psychotherapist

Phone

(312) 788-7703

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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.

• Anancia S Stafford, LCPC

  • Counselor
  • Chicago, IL
  • NPI 1306327358
  NPD Authorized official

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1679103097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6127 S UNIVERSITY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606375894",
            "telephone_number": "773-494-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 W MONROE ST STE 228",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606034955",
            "telephone_number": "773-413-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER PEACES COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "ANANCIA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "312-788-7703",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anancia.stafford@innerpeaces.org",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant Secure location for PHI materials",
            "address_1": "73 W Monroe St Ste 228",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606034955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Inner Healing Psychotherapy, LLC
• Inner Knowing Psychology PLLC (Inner Knowing Psychology)
• Inner Lens Therapy PLLC
• Inner Life Psychological Services LLC
• Inner Peace Holistic Counseling LLC
• Inner Resilience Counseling PLLC
• Inner Sun Psychotherapy, LLC
• Inner Tides Counseling, PLLC
• Inner Wild Therapy PLLC
• Inner Wisdom Counseling, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.