Individual provider Active NPI

Kendall Mosburg, LMHC

  • Mental Health Counselor
  • Carmel, IN
National Provider Identifier
1003382888
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003380A Issued in IN
Practice address
697 Pro Med LN
Carmel, IN 46032-5323
Phone
(317) 574-1254
Fax
(317) 674-0060
NPI assigned
Oct 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39003380A IN Primary

Addresses

Primary practice location

697 Pro Med LN
Carmel, IN 46032-5323

Mailing address

6104 Macbeth Way
Indianapolis, IN 46254-5092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39003380AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Indiana Inc. CurrentSince Jan 1, 2023 Accepting new patients

Locations

2020 Brown St
Anderson, IN 46016
Phone (317) 649-8161

1933 Chase St
Anderson, IN 46016
Phone (765) 622-7466

2009 Brown St
Anderson, IN 46016
Phone (765) 393-3891

4038 Ridgeview Dr
Anderson, IN 46013

697 Pro Med Ln
Carmel, IN 46032
Phone (317) 574-0055

10731 N State Road 13
Elwood, IN 46036
Phone (765) 552-5009

201 Shelby St
Indianapolis, IN 46202
Phone (317) 637-9816

2506 Willowbrook Pkwy
Ste 111
Indianapolis, IN 46205
Phone (317) 475-7270

2506 Willowbrook Pkwy
Ste 300
Indianapolis, IN 46205
Phone (317) 587-0567

1600 W Main St
Lebanon, IN 46052
Phone (765) 335-7702

9615 E 148th St
Ste 1
Noblesville, IN 46060
Phone (317) 587-0500

17840 Cumberland Rd
Noblesville, IN 46060
Phone (317) 773-6864

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1003382888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 MACBETH WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 PRO MED LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325323",
            "telephone_number": "317-574-1254",
            "fax_number": "317-674-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSBURG",
        "first_name": "KENDALL",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-18",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003380A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.