Organization Active NPI

Emerging Soul Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Indianapolis, IN
National Provider Identifier
1063167070
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EMERGING SOUL COUNSELING, LLC
Practice address
9100 Purdue Rd Ste 201
Indianapolis, IN 46268-3165
Phone
(317) 941-6106
NPI assigned
Feb 17, 2022
Last updated
Feb 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Authorized official

Name
Tanisia CrowderNPI 1225510183
Title
Owner
Phone
(317) 941-6106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

9100 Purdue Rd Ste 201
Indianapolis, IN 46268-3165

Mailing address

9100 Purdue Rd Ste 201
Indianapolis, IN 46268-3165

National Provider Directory

National Provider Directory

Locations

9100 Purdue Rd
Ste 201
Indianapolis, IN 46268
Phone (317) 941-6106

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1063167070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 PURDUE RD STE 201",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 PURDUE RD STE 201",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683165",
            "telephone_number": "317-941-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGING SOUL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "CROWDER",
        "authorized_official_first_name": "TANISIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-941-6106"
    },
    "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": []
}

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 Feb 17, 2022; 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.