Active NPI
Joseph Stanley Niskanen
- Case Manager/Care Coordinator
- West Lafayette, IN
National Provider Identifier
1124610399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1305 Cumberland Ave Ste 225
West Lafayette, IN 47906-1343 - Phone
- (765) 464-2991
- NPI assigned
- Feb 9, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1305 Cumberland Ave Ste 225
West Lafayette, IN 47906-1343
Mailing address
1305 Cumberland Ave Ste 225
West Lafayette, IN 47906-1343
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Professional Management Group, Inc. | Current | Accepting new patients | |
| Indiana Professional Management Group, Inc. | Current | Accepting new patients |
Locations
1305 Cumberland Ave
Ste 225
West Lafayette, IN 47906
Phone (765) 464-2991
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- West Lafayette, IN
- NPI 1174081590
-
- Case Management Agency
- West Lafayette, IN
- NPI 1558588319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1124610399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 CUMBERLAND AVE STE 225",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479061343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 CUMBERLAND AVE STE 225",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479061343",
"telephone_number": "765-464-2991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISKANEN",
"first_name": "JOSEPH",
"middle_name": "STANLEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-09",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.