Inner Journey Consulting LLC
Counselor, Mental Health in Wauwatosa, WI. Organization (NPI-2).
NPI number1639816366
StatusActive
Last updated in NPPESMay 15, 2022
Details
- NPI
- 1639816366
- Entity type
- Organization (NPI-2)
- Legal business name
- Inner Journey Consulting LLC
- Organization subpart
- No
- Enumeration date
- May 15, 2022
- Certification date
- May 13, 2022
- Last updated
- May 15, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1505 N. 60th StreetWauwatosa, WI 53208-2153
Phone 414-526-0982
Mailing address
1505 N. 60th StreetWauwatosa, WI 53208-2153
Phone 414-526-0982
Authorized official
Carl T Vitense
Owner/Psychotherapist
4145260982
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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