INNER WISDOM YOGA AND PSYCHOTHERAPY, PLLC
NPI 1265055321
Psychologist - Clinical in Roanoke, VA

Q: What is Inner Wisdom Yoga And Psychotherapy, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since May 24, 2020

1420 3RD ST SW, ROANOKE, VA 24016(540) 798-8478 Get Directions Write a Review

NPPES record last updated: May 24, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Inner Wisdom Yoga And Psychotherapy, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNER WISDOM YOGA AND PSYCHOTHERAPY, PLLC (NPI 1265055321) is a healthcare organization registered as a clinical in Roanoke, Virginia and active in the NPI registry since May 2020. The organization lists Annemarie Carroll, Owner, as its authorized official.

NPPES Registry Identity

NPI1265055321

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameINNER WISDOM YOGA AND PSYCHOTHERAPY, PLLC

Location Address1420 3RD ST SWRoanoke, VA 24016-5205

Mailing Address2921 Oak Crest Ave SwRoanoke, VA 24015-4609 · (540) 798-8478

Phone(540) 798-8478

Organization SubpartNo

Authorized OfficialAnnemarie CarrollOwner · (540) 798-8478

Enumeration DateMay 24, 2020

NPPES CertifiedMay 24, 2020

✔ NPI 1265055321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1420 3RD ST SW, Roanoke, VA 24016

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Inner Wisdom Yoga And Psychotherapy, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Inner Wisdom Yoga And Psychotherapy, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Annemarie Carroll, PH.D., LCP

Clinical Psychologist

NPI 1538667175

1420 3RD ST SW
Roanoke, VA 24016

(540) 798-8478

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Inner Wisdom Yoga And Psychotherapy, PLLC's NPI number?

The NPI number for Inner Wisdom Yoga And Psychotherapy, PLLC is 1265055321. It was assigned to this organization in the NPPES registry on May 24, 2020.

Where is Inner Wisdom Yoga And Psychotherapy, PLLC located?

Inner Wisdom Yoga And Psychotherapy, PLLC is located at 1420 3rd St SW, Roanoke, VA 24016. The listed phone number is (540) 798-8478.

What is Inner Wisdom Yoga And Psychotherapy, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Inner Wisdom Yoga And Psychotherapy, PLLC enrolled in Medicare?

Yes. Inner Wisdom Yoga And Psychotherapy, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Inner Wisdom Yoga And Psychotherapy, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Inner Wisdom Yoga And Psychotherapy, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Inner Wisdom Yoga And Psychotherapy, PLLC was last updated on May 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.