Innerpath

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C005512 Issued in NC

Legal business name

INNERPATH

Doing business as

InnerPath Family Counseling Services

Practice address

5840 Faringdon PL
Raleigh, NC 27609-3930

Phone

(919) 301-0054

Fax

(919) 347-8606

NPI assigned

Jun 24, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Tara Kenyon, LCSW

Title

Owner/ Member

Phone

(919) 301-0054

Specialties & licenses 1

Addresses

Other names 1

• InnerPath Family Counseling Services Doing business as

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1992016000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 FARINGDON PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093930",
            "telephone_number": "919-301-0054",
            "fax_number": "919-347-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 FARINGDON PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093930",
            "telephone_number": "919-301-0054",
            "fax_number": "919-347-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERPATH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "KENYON",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER/ MEMBER",
        "authorized_official_telephone_number": "919-301-0054",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C005512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InnerPath Family Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.