Ai Counseling Services
Organization Active NPI Social Worker · Gary, IN
NPI 1124512405 · NPPES record last updated Mar 28, 2025
Key facts
- NPI
- 1124512405
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Social Worker 104100000X
- Legal business name
- AI COUNSELING SERVICES
- Practice address
- 5059 Hayes St
Gary, IN 46408-4355 - Phone
- (256) 797-1363
- NPI assigned
- Jun 19, 2018
- Organization subpart
- No
Authorized official
- Name
- Aquanatte Jackson, LCSW
- Title
- Ceo
- Phone
- (256) 797-1363
National Provider Directory
Locations
7870 Broadway
Ste G
Merrillville, IN 46410
Phone (219) 741-0254
3315 E Russell Rd
Ste A4348
Las Vegas, NV 89120
3315 E Russell Rd
Ste 4348
Las Vegas, NV 89120
Phone (219) 808-0793
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Counseling Psychologist |
103TC1900X | |||
| Social Worker |
104100000X | Yes | ||
| Clinical Social Worker |
1041C0700X | |||
| Marriage & Family Therapist |
106H00000X | |||
| Psychiatry Physician |
2084P0800X |
Addresses
Primary practice location
5059 Hayes St
Gary, IN 46408-4355
Mailing address
5059 Hayes St
Gary, IN 46408-4355
Phone (256) 797-1363
Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.