Active NPI
Robert Lee Caldwell, M.S., LMFT
- Marriage & Family Therapist
- Carmel, IN
National Provider Identifier
1013185073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 35001353A
- Practice address
- 13295 Illinois St
Suite 311
Carmel, IN 46032-3019 - Phone
- (317) 440-4176
- Fax
- (775) 288-3479
- NPI assigned
- Feb 13, 2008
- Last updated
- Feb 13, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 35001353A | IN | Primary |
Addresses
Primary practice location
13295 Illinois St
Suite 311
Carmel, IN 46032-3019
Mailing address
13295 Illinois St
Suite 311
Carmel, IN 46032-3019
Phone (317) 440-4176
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35001353A | Other | IN | LMFT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35001353A | IN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carmel Counseling Group LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Stephanie Shank
- Community/Behavioral Health Agency
- Carmel, IN
- NPI 1801084579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202860800000",
"number": "1013185073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13295 ILLINOIS ST",
"address_2": "SUITE 311",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323019",
"telephone_number": "317-440-4176",
"fax_number": "775-288-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13295 ILLINOIS ST",
"address_2": "SUITE 311",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323019",
"telephone_number": "317-440-4176",
"fax_number": "775-288-3479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "ROBERT",
"middle_name": "LEE",
"credential": "M.S., LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-13",
"last_updated": "2008-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35001353A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT",
"identifier": "35001353A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.