Organization Active NPI

Innerbalance Diagnosis Center Ky

  • Psychiatry Physician
  • Lexington, KY
National Provider Identifier
1891606190
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
INNERBALANCE DIAGNOSIS CENTER KY
Practice address
2220 Executive Dr Ste 101
Lexington, KY 40505-4871
Phone
(859) 765-6825
Fax
(919) 935-0858
NPI assigned
Sep 15, 2026
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Shirleyjo LeeNPI 1801778634
Title
Executive Director
Phone
(984) 319-7357

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Psychiatry Physician 2084P0800X NU Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

2220 Executive Dr Ste 101
Lexington, KY 40505-4871

Mailing address

501 W Williams St Unit 1036
Apex, NC 27502-2297
Phone (984) 319-7357

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": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1891606190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W WILLIAMS ST UNIT 1036",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275022297",
            "telephone_number": "984-319-7357",
            "fax_number": "919-935-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 EXECUTIVE DR STE 101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054871",
            "telephone_number": "859-765-6825",
            "fax_number": "919-935-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERBALANCE DIAGNOSIS CENTER KY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SHIRLEYJO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "984-319-7357"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.