Active NPI
Deaudra Shaniqua Reed-Smith, M.ED., NCC
- Mental Health Counselor
- Indianapolis, IN
National Provider Identifier
1083133060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 5638 Professional Cir
Indianapolis, IN 46241-5042 - Phone
- (888) 714-1927
- Fax
- (317) 745-9565
- NPI assigned
- Sep 11, 2017
- Last updated
- Jan 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
5638 Professional Cir
Indianapolis, IN 46241-5042
Mailing address
6625 Trunk Way Unit I
Indianapolis, IN 46221-1591
Phone (912) 506-2542
Other practice location 1
2345 S Lynhurst Dr
Indianapolis, IN 46241-8630
Phone (888) 714-1927
Other names 1
- Deaudra Shaniqua Reed
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cummins Behavioral Health Systems, Incorporated | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Avon, IN
- NPI 1740232115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1083133060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6625 TRUNK WAY UNIT I",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462211591",
"telephone_number": "912-506-2542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5638 PROFESSIONAL CIR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462415042",
"telephone_number": "888-714-1927",
"fax_number": "317-745-9565"
}
],
"practiceLocations": [
{
"address_1": "2345 S Lynhurst Dr",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462418630",
"country_code": "US",
"telephone_number": "888-714-1927",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REED-SMITH",
"first_name": "DEAUDRA",
"middle_name": "SHANIQUA",
"name_prefix": "Mrs.",
"credential": "M.ED., NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-11",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEAUDRA",
"last_name": "REED",
"middle_name": "SHANIQUA",
"credential": "M.ED., NCC",
"code": "1",
"type": "Former Name"
}
]
}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 Jan 28, 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.