Individual provider Active NPI

Anne P Lewis, PHD, HSPP. LCAC

  • Clinical Psychologist
  • Fishers, IN
National Provider Identifier
1093786816
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20042541A Issued in IN
Practice address
10142 Brooks School Rd Ste 200
Fishers, IN 46037-3839
Phone
(317) 263-4150
Fax
(844) 387-5421
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X 39001745A IN
Counseling Psychologist 103TC1900X
Clinical Psychologist 103TC0700X 20042541A IN Primary

Addresses

Primary practice location

10142 Brooks School Rd Ste 200
Fishers, IN 46037-3839

Mailing address

10142 Brooks School Rd Ste 200
Fishers, IN 46037-3839
Phone (317) 263-4150

Other identifiers 1

IdentifierTypeStateIssuer
201042020MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address DrAnneLewis@HealingJourneysCenter.com Direct
Direct Messaging Address DrAnneLewis@HealingJourneysCenter.com Direct

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
39001745AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health, Inc Mental Health CurrentSince Nov 11, 2011 Accepting new patients
Healing Journeys Center LLC Addiction (Substance Use Disorder) CurrentSince Nov 1, 2020 Accepting new patients

Locations

2242 Reliable Pkwy
Chicago, IL 60686

10142 Brooks School Rd
Ste 200
Fishers, IN 46037
Phone (317) 263-4150

6640 Intech Blvd
Ste 195
Indianapolis, IN 46278
Phone (317) 295-0608

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1093786816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10142 BROOKS SCHOOL RD STE 200",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460373839",
            "telephone_number": "317-263-4150",
            "fax_number": "844-387-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10142 BROOKS SCHOOL RD STE 200",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460373839",
            "telephone_number": "317-263-4150",
            "fax_number": "844-387-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ANNE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PHD, HSPP. LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001745A",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042541A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201042020",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DrAnneLewis@HealingJourneysCenter.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10142 Brooks School Rd Ste 200",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460373839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DrAnneLewis@HealingJourneysCenter.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10142 Brooks School Rd Ste 200",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460373839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 30, 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.