Innervision Wellness Services, Inc

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

INNERVISION WELLNESS SERVICES, INC

Practice address

683 Cottage St NE
Salem, OR 97301-2419

Phone

(336) 314-7105

NPI assigned

Feb 9, 2024

Organization subpart

No

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

Authorized official

Name

Ebony WigginsNPI 1124849971

Title

Director

Phone

(336) 314-7105

Specialties & licenses 4

Addresses

Locations

Practitioners 1

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

• Ebony Dechelle Wiggins

  • Peer Specialist
  • Salem, OR
  • NPI 1124849971
  NPD Authorized official

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1821852989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 COTTAGE ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012419",
            "telephone_number": "336-314-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 COTTAGE ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012419",
            "telephone_number": "336-314-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERVISION WELLNESS SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-314-7105"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Ingram, PSY.D.
• Evan Charles Inman, M.D.
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• Innerhealth
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• Arthur J. Innes, MD
• Inside Out Counseling
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• Inspire Services LLC
• Inspired Counseling and Wellness

• Lodging Provider in Salem, OR
• Providers in Salem, OR by specialty
• Lodging Provider in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.