INDIANAPOLIS COUNSELING CENTER INC (NPI# 1710153010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710153010 |
| Entity Type | Organization |
| Organization Name | INDIANAPOLIS COUNSELING CENTER INC |
| Practice Address |
724 N Illinois St Indianapolis IN 46204-1116 |
| Practice Telephone | 3175490333 |
| Practice Fax Number | 3175496933 |
| Mailing Telephone | 3175490333 |
| Mailing Fax Number | 3175496933 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |
| Authorized Official Name | MR. KENNETH EUGENE DICKENS SR. (AGENCY DIRECTOR) |
| Authorized Official Telephone | 3175490333 |
| Authorized Official Credential | MS CADAC II |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | 35001499A | IN | Behavioral Health & Social Service Providers |
| Y | 101Y00000X | Counselor | 39000099A | IN | Behavioral Health & Social Service Providers |
| Street Address |
724 N ILLINOIS ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46204-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851660716 | Ron Derrick Smith | Counselor | 724 N Illinois St, Indianapolis, IN 46204-1116 | 2011-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1487203139 | Elizabeth Ann Wilson | Behavior Technician | 120 N East St Ste 1233, Indianapolis, IN 46204 | 2019-09-05 |
| 1225691207 | Kawthar Mohamed | Student in an Organized Health Care Education/Training Program | 120 W Michigan St # Cl630, Indianapolis, IN 46204 | 2019-04-16 |
| 1457853962 | Tracie Lynn King | Physical Therapy Assistant | 500 N Capitol Ave Unit A, Indianapolis, IN 46204 | 2018-03-01 |
| 1013436831 | Kayla Michelle Jackson | Social Worker | 1099 North Meridian Street, Suite 900, Indianapolis, IN 46204 | 2017-09-13 |
| 1912434010 | Latrice N Baxter | Counselor | 201 N. Illinois Street, 16th Floor, South Tower, Indianpolis, IN 46204 | 2017-05-19 |
| 1750820643 | Jcpl, LLC | Optometrist | 751 Massachusetts Ave, Indianapolis, IN 46204 | 2017-02-13 |
| 1922546969 | Makenzie Brinker | Specialist/Technologist | 800 N. Capital Ave, 420, Indianapolis, IN 46204 | 2017-02-10 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1194176263 | Bradley Cox | Dentist | 451 E Market St Apt 448, Indianapolis, IN 46204 | 2016-06-29 |
| Find all providers in zip 46204 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366068181 | Vashni Ray | Counselor | 4346 Wild Turkey Dr, Indianapolis, IN 46239-8104 | 2020-06-17 |
| 1285250043 | Lajuan Brown | Counselor | 8752 Malaga Dr Apt 2b, Indianapolis, IN 46250-3297 | 2020-06-17 |
| 1518590132 | Kathryn Sullivan Evans | Counselor | 8126 Meadowbrook Dr, Indianapolis, IN 46240-2600 | 2020-02-21 |
| 1912530361 | Infinite Shield, LLC | Counselor | 5726 Michigan Rd, Indianapolis, IN 46228-1729 | 2020-02-13 |
| 1669002945 | Indiana Guide Right Foundation, Inc. | Counselor | 3540 Commercial Dr, Indianapolis, IN 46222-1678 | 2020-01-25 |
| 1881245603 | Mary Salem Gregory | Counselor | 1405 Wind Castle Trl, Indianapolis, IN 46280-2726 | 2019-09-23 |
| 1346700945 | Lindsay Kusy | Counselor | 1602 Guildhall Ct, Indianapolis, IN 46260-1562 | 2019-03-21 |
| 1679044531 | Denise Kasandra Hardin | Counselor | 5699 E 71st St Ste 4a, Indianapolis, IN 46220-3968 | 2018-12-17 |
| 1134604853 | Sarah M Lehman | Counselor | 1138 N Rochester Ave, Indianapolis, IN 46222-2943 | 2018-09-27 |
| 1629553516 | Brettany Ervin | Counselor | 115 N Pennsylvania St Unit 401, Indianapolis, IN 46204-2418 | 2018-09-26 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46204 |
Please comment or provide details below to improve the information on INDIANAPOLIS COUNSELING CENTER INC.
| 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.