Andrea L Ford, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39003318A Issued in IN

Practice address

429 E Vermont St Ste 208
Indianapolis, IN 46202-3698

Phone

(317) 528-0026

NPI assigned

Jul 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healing Streams Psychotherapy and Counseling,LLC

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1467939462
  NPD (past) Authorized official

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1073091377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 CROSSFIELD DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462398819",
            "telephone_number": "317-985-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 E VERMONT ST STE 208",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023698",
            "telephone_number": "317-528-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003318A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charnel Forbes
• Jasmine Cristina Forbes
• Katarina Marie Forbes, PHARMD, RPH
• Mona Forcier
• Ford Clinic, PC
• Ashley Ford, LMT
• Brittany M Ford, MSW LCSW LCAC CSAYC
• Cathy Shea Ford, RNFA
• Charitye Ford, LCSW
• Christa M Ford, LCSW

• Mental Health Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.