Organization Active NPI

Spiritbuilders,Inc

  • Health & Wellness Coach
  • Memphis, TN
National Provider Identifier
1720789795
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
SPIRITBUILDERS,INC
Practice address
1840 Pyramid PL # 316
Memphis, TN 38132-1703
Phone
(901) 878-2067
Fax
(731) 200-0513
NPI assigned
Mar 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Dr. Irene Y Bernard, DMIN, LADACII, CAADCNPI 1649706557
Title
Executive Director
Phone
(901) 378-0723

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1840 Pyramid PL # 316
Memphis, TN 38132-1703

Mailing address

9725 Woodland Hills Dr
Cordova, TN 38018-6661
Phone (901) 378-0723

Other practice location 1

9725 Woodland Hills Dr
Cordova, TN 38018-6661
Phone (901) 378-0723

National Provider Directory

National Provider Directory

Locations

1840 Pyramid Pl
#316
Memphis, TN 38132
Phone (901) 878-2067

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": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1720789795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 WOODLAND HILLS DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186661",
            "telephone_number": "901-378-0723",
            "fax_number": "731-200-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 PYRAMID PL # 316",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381321703",
            "telephone_number": "901-878-2067",
            "fax_number": "731-200-0513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9725 Woodland Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380186661",
            "country_code": "US",
            "telephone_number": "901-378-0723",
            "fax_number": "731-200-0513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPIRITBUILDERS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "901-378-0723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMIN, LADACII, CAADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.