Active NPI
Inner Peace Counseling, Inc
- Addiction (Substance Use Disorder) Counselor
- Chehalis, WA
National Provider Identifier
1689726499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 21054900
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP00005966 | Other | WA | CHEMICAL DEPENDENCY PROFE |
National Provider Directory
National Provider DirectoryLocations
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.