NPIMap

Organization Active NPI

Innervision Therapy, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greensburg, PA
National Provider Identifier
1740460260
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP008361 Issued in PA
Legal business name
INNERVISION THERAPY, LLC
Practice address
4000 Hempfield Plaza Blvd
Suite 926
Greensburg, PA 15601-1483
Phone
(724) 834-0432
Fax
(724) 837-7385
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Kelley McGinnis, CRNP
Title
Director
Phone
(724) 834-0432

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X SP008361 PA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X SP008361 PA
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X SP008361 PA
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X SP008361 PA Primary

Addresses

Primary practice location

4000 Hempfield Plaza Blvd
Suite 926
Greensburg, PA 15601-1483

Mailing address

4000 Hempfield Plaza Blvd
Suite 926
Greensburg, PA 15601-1483
Phone (724) 834-0432

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080512000683 PA Part B Supplier - Clinic/Group Practice 6507945896 Receives reassigned benefits from 2 practitioners
Practice locations: Greensburg, PA

National Provider Directory

National Provider Directory

Locations

1117 Woodward Dr
Ste 4
Greensburg, PA 15601
Phone (724) 640-1452

Practitioners & affiliated clinicians

Practitioners 3

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": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1740460260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HEMPFIELD PLAZA BLVD",
            "address_2": "SUITE 926",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156011483",
            "telephone_number": "724-834-0432",
            "fax_number": "724-837-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HEMPFIELD PLAZA BLVD",
            "address_2": "SUITE 926",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156011483",
            "telephone_number": "724-834-0432",
            "fax_number": "724-837-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERVISION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "MCGINNIS",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "724-834-0432",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "PA",
            "license": "SP008361",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SP008361",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "SP008361",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP008361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.