JON FADER (NPI# 1821416967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821416967 |
| Entity Type | Individual |
| Full Name | JON FADER |
| Credential | MSW |
| Practice Address |
5334 Pelham Way Indianapolis IN 46216-2214 |
| Practice Telephone | 3175728204 |
| Practice Fax Number | 3175224367 |
| Mailing Telephone | 3175728204 |
| Mailing Fax Number | 3175224367 |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2014-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
87000979A | IN | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
5334 PELHAM WAY |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46216-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435292 | Wickshire Fort Harrison Opco LLC | Assisted Living Facility | 8025 Doubleday Drive, Indianapolis, IN 46216 | 2020-01-02 |
| 1851875546 | Andrew David Power | Dentist | 5869 Lawton Loop East Drive, Indianapolis, IN 46216 | 2018-09-19 |
| 1366938417 | Alidde Alouidor | Social Worker | 9801 E 59th St, Indianapolis, IN 46216 | 2018-07-02 |
| 1548779663 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 9140 Harrison Park Ct, Indianapolis, IN 46216 | 2017-09-20 |
| 1184835852 | Toby A Zirkle | Family Medicine | 8205 E 56th St Ste 100, Indianapolis, IN 46216 | 2007-05-24 |
| 1922178995 | Physiotherapy Associates | Physical Therapist | 5665 North Post Rd. Suite 100, Indianapolis, IN 46216 | 2006-11-08 |
| 1871562645 | Richard Clark Perry | Internal Medicine | 8205 E 56th Street, Suite 100, Indianapolis, IN 46216 | 2006-03-15 |
| 1902420532 | Carole Christine Corder | Dietitian, Registered | 8205 E 56th St, Suite 100, Indianapolis, IN 46216 | 2020-05-29 |
| 1821301300 | Robin Girdhar | Internal Medicine | 8205 E 56th St, Ste 100, Indianapolis, IN 46216 | 2010-07-26 |
| 1306949086 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 5605 N Post Rd, Indianapolis, IN 46216-1002 | 2006-09-07 |
| Find all providers in zip 46216 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828922 | Yvette Markey | Counselor | 1001 Eugene St, Indianapolis, IN 46208-4930 | 2020-10-13 |
| 1982216917 | A Safe Home LLC | Counselor | 6201 La Pas Trl Ste 170, Indianapolis, IN 46268-2573 | 2020-08-20 |
| 1295378941 | Adriaka Tina Jackson | Counselor | 5868 E 71st St Ste E-630, Indianapolis, IN 46220-4075 | 2019-10-25 |
| 1356991434 | Kimberly Curry | Counselor | 506 W 26th St, Indianapolis, IN 46208-5518 | 2019-09-19 |
| 1154976546 | Carmen Kennedy | Counselor | 4710 E 30th St, Indianapolis, IN 46218-3109 | 2019-08-02 |
| 1487208930 | Darryl K Webster | Counselor | 4901 E. 31st Street, Indianapolis, IN 46218 | 2019-08-01 |
| 1780238238 | Rhonda Y. Battles | Counselor | 1775 N Sherman Dr Suite A, Indianapolis, IN 46218 | 2019-08-01 |
| 1154983583 | Ava Richardson | Counselor | 4072 Sawyer St, Indianapolis, IN 46226-4953 | 2019-07-05 |
| 1912461823 | Experience, Strength, Hope, LLC. | Counselor | 4954 E 56th St Ste 8, Indianapolis, IN 46220-5769 | 2019-01-24 |
| 1407322076 | Progress House, Inc. | Counselor | 201 Shelby St, Indianapolis, IN 46202-3943 | 2018-10-22 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46216 |
Please comment or provide details below to improve the information on JON FADER.
| 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.