Individual provider Active NPI

Erin Taylor Reynolds, MA, LMHC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1003517368
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39004529A Issued in IN
Practice address
8606 Allisonville Rd Ste 120
Indianapolis, IN 46250-3585
Phone
(402) 990-4129
NPI assigned
Mar 14, 2023
Last updated
Jan 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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 39004529A IN Primary

Addresses

Primary practice location

8606 Allisonville Rd Ste 120
Indianapolis, IN 46250-3585

Mailing address

3831 Lake Clearwater PL Apt 822
Indianapolis, IN 46240-7739
Phone (402) 990-4129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112000703 IN Practitioner - Mental Health Counselor 2163873266 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
The Wandering Mind Counseling, LLC Current Accepting new patients
Be Authentic Indy LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

8606 Allisonville Rd
Ste 120
Indianapolis, IN 46250
Phone (317) 548-8895

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1003517368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 LAKE CLEARWATER PL APT 822",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462407739",
            "telephone_number": "402-990-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8606 ALLISONVILLE RD STE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462503585",
            "telephone_number": "402-990-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ERIN",
        "middle_name": "TAYLOR",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004529A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.