Active NPI
Roy Norvell, MS, LCAC
- Addiction (Substance Use Disorder) Counselor
- Indianapolis, IN
National Provider Identifier
1114349081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 870790A
- Practice address
- 927 N Pennsylvania St
Indianapolis, IN 46204-1020 - Phone
- (317) 686-5800
- Fax
- (317) 686-5810
- NPI assigned
- Jan 13, 2014
- Last updated
- Jan 13, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 870790A | IN | Primary |
Addresses
Primary practice location
927 N Pennsylvania St
Indianapolis, IN 46204-1020
Mailing address
927 N Pennsylvania St
Indianapolis, IN 46204-1020
Phone (317) 686-5800
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 870790A | IN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389571200000",
"number": "1114349081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 N PENNSYLVANIA ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462041020",
"telephone_number": "317-686-5800",
"fax_number": "317-686-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 N PENNSYLVANIA ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462041020",
"telephone_number": "317-686-5800",
"fax_number": "317-686-5810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORVELL",
"first_name": "ROY",
"credential": "MS, LCAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-13",
"last_updated": "2014-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "870790A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.