Organization Active NPI

Indiana Re-Entry Integration

  • Substance Abuse Rehabilitation Facility
  • Westfield, IN
National Provider Identifier
1093331506
Registry record updated Jun 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
INDIANA RE-ENTRY INTEGRATION
Doing business as
Indiana Re-Entry Integration Services
Practice address
358 W Tansey Xing
Westfield, IN 46074-9743
Phone
(317) 263-1675
NPI assigned
Jun 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2020

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

Authorized official

Name
Michael D James, LCAC, MATS
Title
Ceo
Phone
(317) 263-1675

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

358 W Tansey Xing
Westfield, IN 46074-9743

Mailing address

8081 Lower Bay LN
Indianapolis, IN 46236-9781
Phone (317) 374-3745

Other names 1

  • Indiana Re-Entry Integration Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1592611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592611200000",
    "number": "1093331506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 LOWER BAY LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462369781",
            "telephone_number": "317-374-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 W TANSEY XING",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460749743",
            "telephone_number": "317-263-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA RE-ENTRY INTEGRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-20",
        "last_updated": "2020-06-20",
        "certification_date": "2020-06-20",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-263-1675",
        "authorized_official_credential": "LCAC, MATS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indiana Re-Entry Integration Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.