Innovative Trauma Therapy, PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

INNOVATIVE TRAUMA THERAPY, PLLC

Practice address

220 N Park Blvd Ste 112
Grapevine, TX 76051-6900

Phone

(817) 330-9730

NPI assigned

Oct 12, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Ashley Cook Rovira, M.S.

Title

Owner/Psychotherapist

Phone

(903) 363-6516

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

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

• Ashley Nicole Cook, LPC-S, LMFT, LCDC

  • Marriage & Family Therapist
  • Grapevine, TX
  • NPI 1568739563

  Professional

  NPD

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1679354971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N PARK BLVD STE 112",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516900",
            "telephone_number": "817-330-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N PARK BLVD STE 112",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516900",
            "telephone_number": "817-330-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE TRAUMA THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "ROVIRA",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "COOK",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "903-363-6516",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891042255",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568739563",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Infant Resources
• Inner Health Institute, LLC
• Inner Health Institute, LLC
• Inner Revolution, PLLC
• Innovative Aging Concepts LLC
• Inpatient Group of Grapevine MD PA
• Integrated Healthcare Providers LLC
• Internal Medicine Clinic of Grapevine, PA
• Intimatematters,PLLC
• Conor David Irwin, MD

• Marriage & Family Therapist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.