LDS FAMILY SERVICES (NPI# 1407072762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407072762 |
| Entity Type | Organization |
| Organization Name | LDS FAMILY SERVICES |
| Other Organization Name | LDS FAMILY SERVICES INDIANA AGENCY |
| Practice Address |
550 Congressional Blvd Suite 125 Carmel IN 46032-5609 |
| Practice Telephone | 3178721749 |
| Practice Fax Number | 3178721756 |
| Mailing Telephone | 3178721749 |
| Mailing Fax Number | 3178721756 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2009-09-14 |
| Authorized Official Name | MR. MATTHEW J WILSON (COUNSELING SUPERVISOR) |
| Authorized Official Telephone | 3175220224 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | LDS FAMILY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
169096933 | IN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| LDS Family Services Indiana Agency | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831475615 | Lds Family Services | Community/Behavioral Health | 312 7th Ave W, Springfield, TN 37172-2704 | 2011-10-25 |
| 1659692424 | Lds Family Services | Clinic/Center | 1672 W 700 S, Ste D, Springville, UT 84663-5888 | 2010-06-16 |
| 1437326154 | Lds Family Services | Community/Behavioral Health | 2738 Wales Ct, Thompsons Station, TN 37179-5297 | 2008-05-12 |
| 1033381892 | Lds Family Services | Clinic/Center | 172 Thomas Johnson Drive, Suite 200, Frederick, MD 21702-4404 | 2008-04-01 |
| 1225233828 | Lds Family Services | Clinic/Center | 15501 San Fernando Mission Blvd Ste 302, Mission Hills, CA 91345-1359 | 2007-06-15 |
| 1013122563 | Lds Family Services | Clinic/Center | 1418 Fillmore St, Twin Falls, ID 83301-3380 | 2007-05-10 |
| 1538371216 | Lds Family Services | Community/Behavioral Health | 217 E 87th St Fl 3, New York, NY 10128-3204 | 2007-05-04 |
| 1063630788 | Lds Family Services | Social Worker | 641 S Main St, Snowflake, AZ 85937-5595 | 2007-04-20 |
| 1740318716 | Lds Family Services | Clinic/Center | 547 Amherst St, Suite 404, Nashua, NH 03063-4000 | 2007-03-01 |
| 1629104229 | Lds Family Services | Clinic/Center | 2620 Colonial Dr Ste D, Helena, MT 59601-8042 | 2007-02-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | LDS FAMILY SERVICES | 50 E North Temple 2ww, Salt Lake City, UT 84150 |
| Massachusetts Corporations | LDS FAMILY SERVICES | 50 East North Temple St. #2ww, Salt Lake City, UT 84150 |
| Virginia Business Entities | LDS FAMILY SERVICES OF VIRGINIA | 50 E. North Temple, Salt Lake City, Utah 84150 |
| Street Address |
550 CONGRESSIONAL BLVD SUITE 125 |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-5609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.