Active NPI
Ah'Nonda Bates, MS, LCAC
- Addiction (Substance Use Disorder) Counselor
- Indianapolis, IN
National Provider Identifier
1174704142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 87001001A
- Practice address
- 8320 Madison Ave
Indianapolis, IN 46227 - Phone
- (317) 882-5122
- Fax
- (317) 888-8642
- NPI assigned
- Nov 19, 2007
- Last updated
- Jul 24, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 87001001A | IN | Primary |
Addresses
Primary practice location
8320 Madison Ave
Indianapolis, IN 46227
Mailing address
5101 E US Highway 36 Ste 100
Avon, IN 46123-6646
Phone (888) 714-1927
Other practice location 1
6655 E US Highway 36
Avon, IN 46123-8923
Phone (888) 714-1927
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87001001A | IN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1174704142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 E US HIGHWAY 36 STE 100",
"city": "AVON",
"state": "IN",
"postal_code": "461236646",
"telephone_number": "888-714-1927",
"fax_number": "317-745-9565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8320 MADISON AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46227",
"telephone_number": "317-882-5122",
"fax_number": "317-888-8642"
}
],
"practiceLocations": [
{
"address_1": "6655 E US Highway 36",
"address_purpose": "LOCATION",
"city": "Avon",
"state": "IN",
"postal_code": "461238923",
"country_code": "US",
"telephone_number": "888-714-1927",
"fax_number": "317-272-0807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BATES",
"first_name": "AH'NONDA",
"credential": "MS, LCAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-19",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "87001001A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.