Active NPI
Michael Scott Patrick, LMHC
- Mental Health Counselor
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39003622A
- Practice address
- 2401 W University Ave
Muncie, IN 47303-3428 - Phone
- (765) 747-3111
- NPI assigned
- Oct 20, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39003622A | IN | Primary |
Addresses
Primary practice location
2401 W University Ave
Muncie, IN 47303-3428
Mailing address
2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-3111
Other practice location 1
1030 W Michigan St Ste 3307
Indianapolis, IN 46202-5201
Phone (317) 948-7450
Other names 1
- Mike Scott Patrick
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mpatrick@direct.iuhealth.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39003622A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Mental Health | Current | Accepting new patients |
| Indiana University Health Ball Memorial Physicians, Inc. | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients |
Locations
3832 Solutions Ctr
Chicago, IL 60677
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1030 W Michigan St
Ste 3307
Indianapolis, IN 46202
Phone (317) 948-7450
333 N Alabama St
Indianapolis, IN 46204
Phone (317) 395-3391
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
215 S Hutchinson Ave
Muncie, IN 47303
Phone (765) 281-6920
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
IN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1144947219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 W UNIVERSITY AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473033428",
"telephone_number": "765-747-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 W UNIVERSITY AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473033428",
"telephone_number": "765-747-3111"
}
],
"practiceLocations": [
{
"address_1": "1030 W Michigan St Ste 3307",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025201",
"country_code": "US",
"telephone_number": "317-948-7450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATRICK",
"first_name": "MICHAEL",
"middle_name": "SCOTT",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-20",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39003622A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mpatrick@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1030 W Michigan St Ste 3307",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MIKE",
"last_name": "PATRICK",
"middle_name": "SCOTT",
"credential": "LMHC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.