NPIMap

Organization Active NPI

Innerconnect Enterprises, LLC

Doing business as InnerConnect Counseling

  • Professional Counselor
  • Gilbert, AZ
National Provider Identifier
1871138719
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
INNERCONNECT ENTERPRISES, LLC
Doing business as
InnerConnect Counseling
Practice address
3336 E Chandler Heights Rd Ste 123
Gilbert, AZ 85298-4263
Phone
(480) 372-8597
NPI assigned
Nov 14, 2019
Last updated
Mar 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Candice Smith, LPCNPI 1164067088
Title
Owner
Phone
(480) 372-8597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

3336 E Chandler Heights Rd Ste 123
Gilbert, AZ 85298-4263

Mailing address

3336 E Chandler Heights Rd Ste 123
Gilbert, AZ 85298-4263

Other names 1

  • InnerConnect Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1871138719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 E CHANDLER HEIGHTS RD STE 123",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 E CHANDLER HEIGHTS RD STE 123",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984263",
            "telephone_number": "480-372-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERCONNECT ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-372-8597",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InnerConnect Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "InnerConnect Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.