Organization Active NPI

Wellfield Counseling, LLC

  • Marriage & Family Therapist
  • Indianapolis, IN
National Provider Identifier
1114780780
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
WELLFIELD COUNSELING, LLC
Practice address
12512 Doe LN
Indianapolis, IN 46236-6000
Phone
(317) 426-7689
NPI assigned
Feb 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Michael McCully, MA, LMFTNPI 1386054930
Title
Manager & Therapist
Phone
(317) 426-7689

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

12512 Doe LN
Indianapolis, IN 46236-6000

Mailing address

9801 Fall Creek Rd # 105
Indianapolis, IN 46256-4802
Phone (317) 426-7689

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1114780780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 FALL CREEK RD # 105",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564802",
            "telephone_number": "317-426-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12512 DOE LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462366000",
            "telephone_number": "317-426-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLFIELD COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "MCCULLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER & THERAPIST",
        "authorized_official_telephone_number": "317-426-7689",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "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 Feb 5, 2024; 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.