Inner Essence Therapy, Consulting and Diagnostic PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

INNER ESSENCE THERAPY, CONSULTING AND DIAGNOSTIC PLLC

Practice address

10800 Gosling Rd Unit 130142
Spring, TX 77393-4008

Phone

(510) 686-3446

Fax

(832) 202-1360

NPI assigned

Oct 14, 2020

Last updated

Oct 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alisa Zachery, LCSWNPI 1811328172

Title

Founder/Ceo

Phone

(510) 686-3446

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX, CA2 enrollments

Enrollment records 2

Locations

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.

• Alisa Zachery, LCSW

  • Clinical Social Worker
  • Spring, TX
  • NPI 1811328172

  CA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1891393542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 GOSLING RD UNIT 130142",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773934008",
            "telephone_number": "510-686-3446",
            "fax_number": "832-202-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 GOSLING RD UNIT 130142",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773934008",
            "telephone_number": "510-686-3446",
            "fax_number": "832-202-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER ESSENCE THERAPY, CONSULTING AND DIAGNOSTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2021-10-06",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "ZACHERY",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "510-686-3446",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://simplepractice.com",
            "affiliation": "N",
            "address_1": "10800 Gosling Rd Unit 130142",
            "city": "Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773934008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Spring, TX
• Providers in Spring, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.