Institute of Intrapersonal Development, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

INSTITUTE OF INTRAPERSONAL DEVELOPMENT, LLC

Practice address

1872 Woodhollow Drive
Apt. 211
Maryland Heights, MO 63043-3957

Phone

(314) 625-6070

NPI assigned

Oct 13, 2020

Organization subpart

No

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

Authorized official

Name

Jerisha Lacrae Rutlin, LPCNPI 1710498167

Title

Founder/Clinical Director

Phone

(314) 625-6070

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jerisha Lacrae Rutlin, LPC, NCC

  • Mental Health Counselor
  • Maryland Heights, MO
  • NPI 1710498167
  NPD Authorized official

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1700484599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 WOODHOLLOW DRIVE",
            "address_2": "APT. 211",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433957",
            "telephone_number": "314-625-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1872 WOODHOLLOW DRIVE",
            "address_2": "APT. 211",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433957",
            "telephone_number": "314-625-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF INTRAPERSONAL DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "RUTLIN",
        "authorized_official_first_name": "JERISHA",
        "authorized_official_middle_name": "LACRAE",
        "authorized_official_title_or_position": "FOUNDER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "314-625-6070",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Humbel, RN, BSN
• Heather Hupperts-Harman, FNP-C, PMHNP-BC
• Mark A Hurt, M.D.
• Andrea Immel
• Infinity Home Care LLC
• John L Jackson, PH.D.
• Amen Jawaid
• Harolyn Jennings-Finger, NURSE PRACTITIONER
• Timothy W Jennings, D.O.
• Kerry R Jerke, CNP

• Adult Mental Health Clinic/Center in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Adult Mental Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.