Individual provider Active NPI

Robin J Christopherson, LMFT

  • Marriage & Family Therapist
  • Fishers, IN
National Provider Identifier
1093103533
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35001968A Issued in IN
Practice address
14074 Trade Center Dr Ste 137
Fishers, IN 46038-4570
Phone
(949) 291-9345
NPI assigned
Jan 7, 2015
Last updated
Feb 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 84501 CA
Marriage & Family Therapist 106H00000X 35001968A IN Primary

Addresses

Primary practice location

14074 Trade Center Dr Ste 137
Fishers, IN 46038-4570

Mailing address

14074 Trade Center Dr Ste 137
Fishers, IN 46038-4570
Phone (317) 458-5575

Other practice location 1

2506 Willowbrook Pkwy Ste 300
Indianapolis, IN 46205-1500
Phone (317) 574-1254

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

State licenses

LicenseStateTypeSpecialty
84501CAMDMarriage & Family Therapist
35001968AINMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1093103533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14074 TRADE CENTER DR STE 137",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384570",
            "telephone_number": "317-458-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14074 TRADE CENTER DR STE 137",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384570",
            "telephone_number": "949-291-9345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2506 Willowbrook Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462051500",
            "country_code": "US",
            "telephone_number": "317-574-1254",
            "fax_number": "317-674-0060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTOPHERSON",
        "first_name": "ROBIN",
        "middle_name": "J",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "84501",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001968A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.