Intentional Longevity, Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

INTENTIONAL LONGEVITY, INC.

Practice address

370 N Louisiana Ave
Suite D3 & D4
Asheville, NC 28806-3600

Phone

(828) 412-3688

NPI assigned

Jun 21, 2016

Organization subpart

No

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

Authorized official

Name

Ilisha Harris, LCMHCA, LCAS, CSI

Title

Director

Phone

(740) 648-6093

Specialties & licenses 1

Addresses

Other names 1

• Center for Spiritual Emergence & Katharos Sanctuary Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Opioid treatment program

Medicare-enrolled since Dec 23, 2021

Enrollment records 1

Tax ID family

Center for Spiritual Emergence Katharos Sanctuary2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Intentional Longevity, Inc.

  • Adult Mental Health Clinic/Center
  • Asheville, NC
  • NPI 1093174088
  NPD tax ID

Locations

Practitioners 2

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

• John D Sperry, M.A., LCMHC, LCAS, C

  • Professional Counselor
  • Asheville, NC
  • NPI 1881985315
  NPD
• Ronald R Parks, M.D.

  • Psychiatry Physician
  • Asheville, NC
  • NPI 1417115742
  NPD (past)

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1679923668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 N LOUISIANA AVE STE D3",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288063641",
            "telephone_number": "828-412-3688",
            "fax_number": "828-412-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 N LOUISIANA AVE",
            "address_2": "SUITE D3 & D4",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288063600",
            "telephone_number": "828-412-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL LONGEVITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ILISHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "740-648-6093",
        "authorized_official_credential": "LCMHCA, LCAS, CSI"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Spiritual Emergence & Katharos Sanctuary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Inspire Hearing Solutions, LLC
• Inspirit Behavioral Health
• Institute for Quantum Change PLLC
• Integrative Occupational Therapy, LLC
• Intentional Longevity, Inc.
• Interact - Social and Functional Communication
• Interactive Resources, LLC
• Amelia Ann Iracane, LCSW-A, LCAS-P
• Erin Ann Iraggi, LCSW
• Irene Wortham Center, Inc.

• All providers in Asheville, NC
• Multi-Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.