Individual provider Active NPI

Karri Anne Anderson, LMFT, LCAC

  • Marriage & Family Therapist
  • Greenfield, IN
National Provider Identifier
1164847299
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35001901A Issued in IN
Practice address
28 N East St
Greenfield, IN 46140-2167
Phone
(176) 494-3113
Fax
(317) 649-4375
NPI assigned
Feb 26, 2014
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87001567A IN
Marriage & Family Therapist 106H00000X 35001901A IN Primary

Addresses

Primary practice location

28 N East St
Greenfield, IN 46140-2167

Mailing address

28 N East St
Greenfield, IN 46140-2167
Phone (317) 649-4311

Other names 1

  • Karri Mutchler Former name

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
I20240226002139 IN Practitioner - Marriage and Family Therapist 3173943156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Origins Family Counseling, LLCGroup PAC ID 3577999184, 5 clinicians

Practice addresses (Care Compare)

28 N E St
Greenfield, IN 46140-2167
Phone 3176494311301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35001901AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Origins Family Counseling, LLC CurrentSince Jan 20, 2024 Accepting new patients

Locations

18 E Main St
Ste 216
Greenfield, IN 46140
Phone (317) 649-4311

28 N East St
Greenfield, IN 46140
Phone (317) 649-4311

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1164847299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 N EAST ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402167",
            "telephone_number": "317-649-4311",
            "fax_number": "317-649-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N EAST ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402167",
            "telephone_number": "176-494-3113",
            "fax_number": "317-649-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KARRI",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LMFT, LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-26",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001567A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001901A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARRI",
            "last_name": "MUTCHLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.