JESSICAH DAWN WALKER HERCHE


Address: 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817
Phone: 3177470574

JESSICAH DAWN WALKER HERCHE (NPI# 1629556535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629556535
Entity Type Individual
Full Name JESSICAH DAWN WALKER HERCHE
Credential PHD, HSPP
Practice Address 9465 Counselors Row Ste 200
Indianapolis
IN 46240-3817
Mailing Address 12550 Corday Ct
Fishers
IN 46038-1213
Practice Telephone 3177470574
Mailing Telephone 3177470547
Enumeration Date 2018-08-02
Last Update Date 2020-05-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TH0100X Psychologist
Specialization: Health Service
279-PY-PR-TEMP MA Behavioral Health & Social Service Providers
Y 103TH0100X Psychologist
Specialization: Health Service
20043217B IN Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
50 E 91st St Ste 316, Indianapolis, IN 46240 3175503221 3175503228
9465 Counselors Row Ste 200, Indianapolis, IN 462403817 3177470574

Office Location

Street Address 9465 COUNSELORS ROW STE 200
City INDIANAPOLIS
State IN
Zip Code 46240-3817

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NPI Name Taxonomy Address Enumeration
1215433420 Sean Andrew Koerner General Practice 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 2018-04-05
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1528666922 Careconnectmd Medical Group Indiana PC Clinic/Center 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 2020-10-16
1184263295 Careconnectmd Indiana P.C. Clinic/Center 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 2020-01-06
1306497391 Popcorn LLC Private Vehicle 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 2019-09-22
1922653419 Key Autism Services In, LLC Community/Behavioral Health 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 2019-08-02
1295293389 Patience Compassionate Care LLC Counselor 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 2019-03-07
1619441318 Home Care On Demand LLC Chore Provider 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 2019-01-15
1497221709 Patience Pinky Carter Counselor 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 2018-10-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124674908 Indianapolis Neurobehavioral Health Center LLC Psychologist 921 E. 86th St., Suite 210 C, Indianapolis, IN 46240 2019-08-16
1720507999 Refractive Surgery Professionals LLC Clinic/Center 8500 Keystone Xing Ste 150, Indianapolis, IN 46240 2017-09-19
1184148892 Hannah Hoyt Specialist/Technologist 9504 N. Washington Blvd, Indianapolis, IN 46240 2017-08-03
1134657455 Donann Kissick Speech-Language Pathologist 450 E 96th St., Suite 500, Indianapolis, IN 46240 2017-05-31
1992138804 George Byington Pratt IIi Radiology 9015 Crystal Lake Drive, Indianapolis, IN 46240 2013-08-14
1871934513 Kayla Harpenau Occupational Therapist 7405 Westfield Blvd, Indianapolis, IN 46240 2013-07-10
1235483835 Christina Marie Wilson Nurse Practitioner 8888 Keystone Crossing, Suite 1300, Indianapolis, IN 46240 2012-11-04
1770850927 Holly Bergeron Pharmacist 1505 E 86th Street, Indianapolis, IN 46240 2011-11-16
1104128214 Meghan Kyle Fricke Physician Assistant 860 E 86th St Ste 4, Indianapolis, IN 46240 2010-11-22
1689901118 Katherine Jane Russell Audiologist 2001 W. 86th St., Indianapolis, IN 46240 2009-11-04
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Taxonomy Information

Taxonomy Code 103TH0100X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Health Service

Taxonomy Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376600767 Bart Ferraro Psychologist 2011 N Meridian St, Indianapolis, IN 46202-1305 2007-01-03
1235247396 Linda Ohlsen Ferreira Psychologist 23 East 39th Street, Indianapolis, IN 46205-2645 2006-08-29
1871567602 Patrick J Murphy Psychologist 7418 Glenview Dr E, Indianapolis, IN 46250-2456 2006-02-16
1538161351 Mark Steven Randall Psychologist 8075 North Shadeland Avenue, Indianapolis, IN 46256-2693 2005-08-11
1780283879 Cadence Psychology Studio Psychologist 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 2020-10-20
1619449329 Kevin Lee Rand Psychologist 4401 Central Ave, Indianapolis, IN 46205-1822 2018-12-19
1750885505 Brannon Walsmith Hart Psychologist 5317 E 16th St, Indianapolis, IN 46218-4897 2018-03-19
1609245042 Michael Kenny Psychologist 737 E 86th St, Indianapolis, IN 46240-1803 2015-09-16
1750790440 Stephanie Drescher Psychologist 4401 Central Ave, Indianapolis, IN 46205-1822 2014-08-06
1396154084 Susan Lin Galford Psychologist 4401 Central Ave, Indianapolis, IN 46205-1822 2014-08-06
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Competitor

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City INDIANAPOLIS
Zip Code 46240

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Dataset Information

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.

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