Indiana Counselors and Wellness LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

INDIANA COUNSELORS AND WELLNESS LLC

Practice address

649 Jackson Rd
Greenwood, IN 46142-7443

Phone

(317) 670-4709

NPI assigned

Nov 19, 2020

Last updated

Nov 19, 2020By 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

Jeanette Etnier, LMHCNPI 1649532490

Title

Owner/Counselor

Phone

(317) 670-4709

Specialties & licenses 1

Addresses

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.

• Jeanette Etnier, LMHC, LCAC

  • Mental Health Counselor
  • Greenwood, IN
  • NPI 1649532490
  Authorized official Same address or phone

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1073116323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 JACKSON RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461427443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 JACKSON RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461427443",
            "telephone_number": "317-670-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA COUNSELORS AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "ETNIER",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "317-670-4709",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.