Indigo Wellness, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

INDIGO WELLNESS, INC.

Practice address

144 Kings Hwy Ste 302
Dover, DE 19901-7308

Phone

(302) 450-3936

Fax

(302) 450-3927

NPI assigned

Oct 4, 2019

Last updated

Oct 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tara K Adams, LCSW, RPTNPI 1659630168

Title

Therapist

Phone

(302) 450-3936

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tara K. Adams, LCSW, RPT

  • Clinical Social Worker
  • Dover, DE
  • NPI 1659630168
  NPD (past) Authorized official

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1023659612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 KINGS HWY STE 302",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199017308",
            "telephone_number": "302-450-3936",
            "fax_number": "302-450-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 KINGS HWY STE 302",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199017308",
            "telephone_number": "302-450-3936",
            "fax_number": "302-450-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "302-450-3936",
        "authorized_official_credential": "LCSW, RPT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Dover, DE
• Providers in Dover, DE by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.