Organization Active NPI

Living Well Therapies

  • Community/Behavioral Health Agency
  • Indianapolis, IN
National Provider Identifier
1073957379
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
85000105A Issued in IN
Legal business name
LIVING WELL THERAPIES
Practice address
1050 W 42ND St
Indianapolis, IN 46208-3301
Phone
(317) 496-5484
NPI assigned
Apr 17, 2013
Last updated
Apr 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Mrs. Deirdre Burton, LMFTA, OTR, BCCNPI 1043389968
Title
Licensed Marriage & Family Therapy
Phone
(317) 496-5484

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
Community/Behavioral Health Agency 251S00000X 85000105A IN Primary

Addresses

Primary practice location

1050 W 42ND St
Indianapolis, IN 46208-3301

Mailing address

PO Box 53373
Indianapolis, IN 46253-0373

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, 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": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1073957379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53373",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462530373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W 42ND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462083301",
            "telephone_number": "317-496-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_title_or_position": "LICENSED MARRIAGE & FAMILY THERAPY",
        "authorized_official_telephone_number": "317-496-5484",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFTA, OTR, BCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "85000105A",
            "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 Apr 17, 2013; 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.