Kellie Mitchell
Individual provider Active NPI Mental Health Counselor · Indianapolis, IN
NPI 1164136453 · NPPES record last updated Jan 11, 2023
Key facts
- NPI
- 1164136453
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 7941 Castleway Dr
Indianapolis, IN 46250-1953 - Phone
- (317) 775-9517
- NPI assigned
- Jan 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
7941 Castleway Dr
Indianapolis, IN 46250-1953
Mailing address
7941 Castleway Dr
Indianapolis, IN 46250-1953
Phone (317) 775-9517
Other providers in Indianapolis, IN
- Jennifer E Mitchell
- Joanna Elaine Mitchell
- Jonathan E Mitchell
- Julia Lane Mitchell
- Kaitlyn Mitchell
- Kylerra June Mitchell
- Lauren Mitchell
- Madeline Marie Mitchell
- Marcus Brian Mitchell
- Mary Kay Mitchell
All providers in Indianapolis, IN · Mental Health Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2023. 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.