Inner Peace Pastoral Counseling PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3102 Issued in OK

Legal business name

INNER PEACE PASTORAL COUNSELING PLLC

Practice address

221 S Bickford Ave
El Reno, OK 73036-2756

Phone

(405) 820-6992

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark David Heaney, LPCNPI 1902088032

Title

Therapist

Phone

(405) 820-6992

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Tax ID family

Inner Peace Pastoral Counseling PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Inner Peace Pastoral Counseling, PLLC

  • Pastoral Counselor
  • Oklahoma City, OK
  • NPI 1801160841
  NPD tax ID

Locations

Practitioners 1

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

• Mark David Heaney, L.P.C.

  • Professional Counselor
  • Oklahoma City, OK
  • NPI 1902088032
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1801929781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 PROFESSIONAL CIR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996314",
            "telephone_number": "405-820-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S BICKFORD AVE",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362756",
            "telephone_number": "405-820-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER PEACE PASTORAL COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "HEANEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "405-820-6992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Huffines
• Charles O Hunt
• Christopher Thomas Hyland Jr.
• Jordan Kacey Ibarra, PHARMD, MHA, BCPS
• Peggy Ruth Immohotichey, RN
• Sikirat Iyanda
• Abby Jackson
• Andrea Lynn Jackson, PHARM.D,
• James Albert Joern, D.D.S.
• John James Ditmars, Jr. DPM, PC

• Professional Counselor in El Reno, OK
• Providers in El Reno, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.