NPIMap

Organization Active NPI

P.R.E.T.T.Y. Girls Rock Mentoring

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1073070520
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
P.R.E.T.T.Y. GIRLS ROCK MENTORING
Practice address
8120 Glenwillow LN Unit 104
Indianapolis, IN 46278-2258
Phone
(317) 629-1310
NPI assigned
Feb 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Monica McDonaldNPI 1689196032
Title
Therapist
Phone
(317) 629-1310

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

8120 Glenwillow LN Unit 104
Indianapolis, IN 46278-2258

Mailing address

8120 Glenwillow LN Unit 104
Indianapolis, IN 46278-2258

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1073070520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 GLENWILLOW LN UNIT 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462782258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 GLENWILLOW LN UNIT 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462782258",
            "telephone_number": "317-629-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.R.E.T.T.Y. GIRLS ROCK MENTORING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "317-629-1310"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "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 20, 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.