Individual provider Active NPI

Marilyn McNamara Hamerstadt, LMHC

  • Mental Health Counselor
  • Carmel, IN
National Provider Identifier
1124353735
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39001714A Issued in IN
Practice address
301 E Carmel Dr
Carmel, IN 46032-2888
Phone
(317) 581-1013
NPI assigned
Oct 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 00180 IN
Mental Health Counselor 101YM0800X 39001714A IN Primary

Addresses

Primary practice location

301 E Carmel Dr
Carmel, IN 46032-2888

Mailing address

301 E Carmel Dr
Carmel, IN 46032-2888
Phone (317) 581-1013

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

State licenses

LicenseStateTypeSpecialty
00180INMDAddiction (Substance Use Disorder) Counselor
39001714AINMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1124353735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E CARMEL DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322888",
            "telephone_number": "317-581-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CARMEL DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322888",
            "telephone_number": "317-581-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMERSTADT",
        "first_name": "MARILYN",
        "middle_name": "MCNAMARA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "00180",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001714A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.