INDIGO COUNSELING SERVICES, INC (NPI# 1821407503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821407503 |
| Entity Type | Organization |
| Organization Name | INDIGO COUNSELING SERVICES, INC |
| Practice Address |
1230 Lexington Ave Ste 100 Mansfield OH 44907-2679 |
| Practice Telephone | 4197751771 |
| Practice Fax Number | 4197751088 |
| Mailing Telephone | 4197751771 |
| Mailing Fax Number | 4197751088 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |
| Authorized Official Name | GREGG RICHARDS (PRESIDENT) |
| Authorized Official Telephone | 4197751771 |
| Authorized Official Credential | LPCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 4741 | OH | Behavioral Health & Social Service Providers |
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
892648 | OH | Behavioral Health & Social Service Providers |
| Y | 101Y00000X | Counselor | S1050 | OH | Behavioral Health & Social Service Providers |
| Street Address |
1230 LEXINGTON AVE STE 100 |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44907-2679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
| 1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
| 1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
| 1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
| 1528533320 | Ohio Treatment Center, LLC | Clinic/Center | 475 Lexington Ave., Mansfield, OH 44907 | 2018-10-08 |
| 1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
| 1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
| 1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
| 1427321579 | Tara Kightlinger | Community Health Worker | 442 Brenda Dr, Mansfield, OH 44907 | 2012-02-21 |
| 1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
| Find all providers in zip 44907 | ||||
| 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 |
|---|---|---|---|---|
| 1871103283 | Be Still Counseling and Consulting, Pllc | Counselor | 602 Strada Cir Ste 119, Mansfield, TX 76063-3201 | 2020-08-01 |
| 1407407620 | Ryan Edward Rodrigues | Counselor | 792 S Main St Ste 102, Mansfield, MA 02048-3137 | 2019-09-28 |
| 1356871131 | Roger Noe | Counselor | 652 Holiday Dr, Mansfield, OH 44904-1819 | 2017-06-14 |
| 1497291389 | Latieria Edwards | Counselor | 606 Monroe St, Mansfield, LA 71052-3224 | 2017-01-16 |
| 1962959130 | Lakimberly Pratt Edwards | Counselor | 1048 Park Dr, Mansfield, LA 71052-4812 | 2016-09-06 |
| 1154780880 | Jacarri Jackson | Counselor | 238 Wildwood St, Mansfield, LA 71052-6420 | 2016-02-23 |
| 1619342433 | Stanley Cunningham | Counselor | 125 Canary Lane, Mansfield, LA 71052 | 2015-12-04 |
| 1083036545 | Roger Higginbotham | Counselor | 151 Marion Avenue, Mansfield, OH 44903-2223 | 2014-01-16 |
| 1649608431 | Giscard Sarkis | Counselor | 19 Homefield Dr # Dt, Mansfield, MA 02048-3330 | 2013-10-15 |
| 1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
| Find all providers in MANSFIELD | ||||
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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.