Debra Corn Agency

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DEBRA CORN AGENCY

Practice address

200 Professional CT Ste a
Lafayette, IN 47905-5134

Phone

(765) 479-2409

NPI assigned

Sep 14, 2010

Organization subpart

No

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

Authorized official

Name

Aja Mutzl, M.A.

Title

Marriage & Family Therapist

Phone

(765) 449-1992

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janet Marian Rhodes-Carlson, MSW

  • Mental Health Counselor
  • Lafayette, IN
  • NPI 1760799035
  NPD (past)

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1104134022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PROFESSIONAL CT STE A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055134",
            "telephone_number": "765-479-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROFESSIONAL CT STE A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055134",
            "telephone_number": "765-479-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA CORN AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "MUTZL",
        "authorized_official_first_name": "AJA",
        "authorized_official_title_or_position": "MARRIAGE & FAMILY THERAPIST",
        "authorized_official_telephone_number": "765-449-1992",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imee R. De Los Reyes, P.T.
• Rodrigo Diaz De Los Reyes Jr.
• Brenda C Deadman, CST
• Ashley Jo Deardurff, CST
• Julie J Debord, AGNP
• Derek Decagna, DC
• Amanda Dehne, NP
• Mikayla Deisler
• Freaw Nigussie Dejenie, M.D.
• Craig Deken, PHD, HSPP

• Community/Behavioral Health Agency in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.