Individual provider Active NPI

Kevin David Semmes Jr., LMHC

  • Mental Health Counselor
  • Dayton, IN
National Provider Identifier
1124910740
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39005582A Issued in IN
Practice address
616 Paden Dr
Dayton, IN 47941-8029
Phone
(765) 239-9711
NPI assigned
Jul 17, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 39005582A IN Primary

Addresses

Primary practice location

616 Paden Dr
Dayton, IN 47941-8029

Mailing address

616 Paden Dr
Dayton, IN 47941-8029
Phone (765) 239-9711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260130003304 IN Practitioner - Mental Health Counselor 4486132479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

415 N 26TH St
Suite 201
Lafayette, IN 47904-2856

616 Paden Dr
Dayton, IN 47941-8029

9425 Delegates Row
Indianapolis, IN 46240-3805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39005582AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Oaks Health Inc Single Specialty CurrentSince Dec 28, 2025 Accepting new patients
Mindful Embrace Therapy LLC Mental Health CurrentSince Feb 8, 2026 Accepting new patients
Valley Oaks Health Inc CurrentSince Dec 28, 2025 Accepting new patients

Locations

415 N 26th St
Lafayette, IN 47904
Phone (765) 446-6400

2323 Ferry St
Lafayette, IN 47904
Phone (765) 203-1110

415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535

610 Main St
Lafayette, IN 47901
Phone (765) 423-2638

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1124910740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 PADEN DR",
            "city": "DAYTON",
            "state": "IN",
            "postal_code": "479418029",
            "telephone_number": "765-239-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 PADEN DR",
            "city": "DAYTON",
            "state": "IN",
            "postal_code": "479418029",
            "telephone_number": "765-239-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMMES",
        "first_name": "KEVIN",
        "middle_name": "DAVID",
        "name_suffix": "Jr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39005582A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, IN

Sources for this page

Verify at the official NPI Registry.