Organization Active NPI

The Brave Life Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Indianapolis, IN
National Provider Identifier
1205612967
Registry record updated Sep 7, 2023
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
THE BRAVE LIFE THERAPY
Practice address
9135 N Meridian St Ste C5
Indianapolis, IN 46260-1817
Phone
(317) 533-0329
NPI assigned
Sep 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Ms. Jennifer Vincent, LMHC
Title
Owner/Therapist
Phone
(603) 860-2584

Specialties & licenses 1

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

Addresses

Primary practice location

9135 N Meridian St Ste C5
Indianapolis, IN 46260-1817

Mailing address

9135 N Meridian St Ste C5
Indianapolis, IN 46260-1817
Phone (317) 533-0329

National Provider Directory

National Provider Directory

Locations

9135 N Meridian St
Ste C5
Indianapolis, IN 46260
Phone (317) 533-0329

Practitioners & affiliated clinicians

Practitioners 4

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": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1205612967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 N MERIDIAN ST STE C5",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601817",
            "telephone_number": "317-533-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 N MERIDIAN ST STE C5",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601817",
            "telephone_number": "317-533-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRAVE LIFE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "603-860-2584",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "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 Sep 7, 2023; 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.