Organization Active NPI

Inner Peace Counseling, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Chehalis, WA
National Provider Identifier
1689726499
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
21054900 Issued in WA
Legal business name
INNER PEACE COUNSELING, INC
Practice address
118 N Market Blvd
Suite 1
Chehalis, WA 98532-2666
Phone
(360) 748-7268
Fax
(360) 740-9787
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yvonne L Heim, M.S., C.D.P.
Title
Owner, Administrator, Provider
Phone
(360) 748-7268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 21054900 WA Primary

Addresses

Primary practice location

118 N Market Blvd
Suite 1
Chehalis, WA 98532-2666

Mailing address

118 N Market Blvd
Suite 1
Chehalis, WA 98532-2666
Phone (360) 748-7268

Other identifiers 1

IdentifierTypeStateIssuer
CP00005966OtherWACHEMICAL DEPENDENCY PROFE

National Provider Directory

National Provider Directory

Locations

118 N Market Blvd
Ste 1
Chehalis, WA 98532
Phone (360) 748-7268

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689726499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N MARKET BLVD",
            "address_2": "SUITE 1",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322666",
            "telephone_number": "360-748-7268",
            "fax_number": "360-740-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N MARKET BLVD",
            "address_2": "SUITE 1",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322666",
            "telephone_number": "360-748-7268",
            "fax_number": "360-740-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER PEACE COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEIM",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, ADMINISTRATOR, PROVIDER",
        "authorized_official_telephone_number": "360-748-7268",
        "authorized_official_credential": "M.S., C.D.P."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "21054900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHEMICAL DEPENDENCY PROFE",
            "identifier": "CP00005966",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chehalis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.