NPIMap

Organization Active NPI

Inner Light, LLC

  • Mental Health Counselor
  • Hudson, WI
National Provider Identifier
1881992709
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INNER LIGHT, LLC
Practice address
1724 Laurel Ave
Hudson, WI 54016-2049
Phone
(715) 222-2260
Fax
(715) 386-2858
NPI assigned
Mar 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Mrs. Carolyn Peavey Fuchs, MA, LPC (WI),LP (MN)
Title
Owner
Phone
(715) 222-2260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1724 Laurel Ave
Hudson, WI 54016-2049

Mailing address

1724 Laurel Ave
Hudson, WI 54016-2049
Phone (715) 222-2260

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1881992709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 LAUREL AVE",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540162049",
            "telephone_number": "715-222-2260",
            "fax_number": "715-386-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 LAUREL AVE",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540162049",
            "telephone_number": "715-222-2260",
            "fax_number": "715-386-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER LIGHT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "FUCHS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "PEAVEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-222-2260",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC (WI),LP (MN)"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.