Inner Rest Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

INNER REST COUNSELING, LLC

Practice address

1 Professional Dr Ste 8
Port Royal, SC 29935-1104

Phone

(854) 245-0184

Fax

(980) 303-2682

NPI assigned

Jan 11, 2024

Last updated

Nov 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael K Johnson, LPC, LCMHC, LCASNPI 1417452905

Title

Owner/Executive Director

Phone

(854) 245-0184

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael K Johnson

  • Professional Counselor
  • Port Royal, SC
  • NPI 1417452905
  NPD Authorized official

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1780455410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PARKLANDS DR UNIT 1737",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105193",
            "telephone_number": "980-277-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROFESSIONAL DR STE 8",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299351104",
            "telephone_number": "854-245-0184",
            "fax_number": "980-303-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER REST COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "854-245-0184",
        "authorized_official_credential": "LPC, LCMHC, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Henderson
• Kayla Lynn Hill, MS, CF-SLP
• Ashley Fowler Hodge, MS, OTR/L
• House of the Guardian, LLC
• Marcy Eden Houston, LMHC, LPC
• Delia Istrate, PT, DPT
• James F. McNab MD LLC
• Jamison Consultants, LLC
• Patricia Nichole Jenkins
• Alex Walker Johnson, DO

• Professional Counselor in Port Royal, SC
• Providers in Port Royal, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.