Active NPI
Innerbalance Diagnosis Center Ky
- Psychiatry Physician
- Lexington, KY
National Provider Identifier
1891606190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shirleyjo Lee
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Behavior Analyst
- Cary, NC
- NPI 1801778634
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.