Organization Active NPI

Innate Counseling, LLC

  • Clinical Social Worker
  • Ludington, MI
National Provider Identifier
1700471406
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INNATE COUNSELING, LLC
Practice address
337 N Jebavy Dr
Ludington, MI 49431-2951
Phone
(231) 936-1199
Fax
(231) 421-7725
NPI assigned
Mar 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Ms. Jody Ingle LMSW-C
Title
Owner
Phone
(616) 724-7513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

337 N Jebavy Dr
Ludington, MI 49431-2951

Mailing address

337 N Jebavy Dr
Ludington, MI 49431-2951
Phone (616) 724-7513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210408001524 MI Part B Supplier - Clinic/Group Practice 0244648335 Receives reassigned benefits from 1 practitioner
Practice locations: Ludington, MI

National Provider Directory

National Provider Directory

Locations

337 N Jebavy Dr
Ludington, MI 49431
Phone (231) 425-3660

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1700471406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 N JEBAVY DR",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312951",
            "telephone_number": "616-724-7513",
            "fax_number": "231-421-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 N JEBAVY DR",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312951",
            "telephone_number": "231-936-1199",
            "fax_number": "231-421-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "LMSW-C",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "INGLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-724-7513",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.