Organization Active NPI

Raising Baselines MHS, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Indianapolis, IN
National Provider Identifier
1194581363
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RAISING BASELINES MHS, LLC
Practice address
1921 Ruckle St
Indianapolis, IN 46202-1750
Phone
(317) 690-7701
NPI assigned
Feb 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Quinton HollandNPI 1356783864
Title
Director
Phone
(317) 690-7701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1921 Ruckle St
Indianapolis, IN 46202-1750

Mailing address

8063 Madison Ave # 1054
Indianapolis, IN 46227-6001
Phone (317) 690-7701

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1194581363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8063 MADISON AVE # 1054",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276001",
            "telephone_number": "317-690-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 RUCKLE ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021750",
            "telephone_number": "317-690-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAISING BASELINES MHS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "QUINTON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-690-7701"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "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 Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.