Organization Active NPI

Inner Healing LLC

  • Clinical Social Worker
  • Richmond, KY
National Provider Identifier
1861043606
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INNER HEALING LLC
Practice address
124 S Keeneland Dr
Richmond, KY 40475-3279
Phone
(859) 624-9699
NPI assigned
Sep 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Sarah Chapman, LCSWNPI 1841663911
Title
LCSW
Phone
(859) 624-9699

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

124 S Keeneland Dr
Richmond, KY 40475-3279

Mailing address

124 S Keeneland Dr
Richmond, KY 40475-3279
Phone (859) 624-9699

Other practice location 1

2201 Regency Rd Ste 303
Lexington, KY 40503-2338
Phone (859) 203-6565

Other identifiers 2

IdentifierTypeStateIssuer
7100372130MedicaidKY
K127500OtherKYMEDICARE PIN

Other names 1

  • Live Well Health Solutions Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221227000157 KY Part B Supplier - Clinic/Group Practice 7810367489 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, KY

National Provider Directory

National Provider Directory

Locations

2201 Regency Rd
Ste 303
Lexington, KY 40503
Phone (859) 203-6565

124 S Keeneland Dr
Richmond, KY 40475
Phone (812) 240-8797

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": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1861043606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S KEENELAND DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753279",
            "telephone_number": "859-624-9699",
            "fax_number": "859-624-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S KEENELAND DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753279",
            "telephone_number": "859-624-9699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Regency Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405032338",
            "country_code": "US",
            "telephone_number": "859-203-6565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNER HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "859-624-9699",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100372130",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "K127500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Well Health Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Live Well Health Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.