Active NPI
Elisabeth Virginia Kessler, LMHC
- Mental Health Counselor
- Indianapolis, IN
National Provider Identifier
1043767254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39002855A
- Practice address
- 6507 Ferguson St
Suite 102
Indianapolis, IN 46220-1294 - Phone
- (317) 408-3542
- NPI assigned
- Sep 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39002855A | IN | Primary |
Addresses
Primary practice location
6507 Ferguson St
Suite 102
Indianapolis, IN 46220-1294
Mailing address
6034 Kingsley Dr
Indianapolis, IN 46220-2342
Phone (317) 408-3542
Other names 1
- Mrs. Elisabeth Virginia Gibboney
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39002855A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1043767254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6034 KINGSLEY DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462202342",
"telephone_number": "317-408-3542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6507 FERGUSON ST",
"address_2": "SUITE 102",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462201294",
"telephone_number": "317-408-3542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSLER",
"first_name": "ELISABETH",
"middle_name": "VIRGINIA",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-06",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39002855A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELISABETH",
"last_name": "GIBBONEY",
"middle_name": "VIRGINIA",
"prefix": "MRS.",
"credential": "LMHC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.