Active NPI
The Brave Life Therapy
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
National Provider Identifier
1205612967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Indianapolis, IN
- NPI 1669052908
-
- Mental Health Counselor
- Indianapolis, IN
- NPI 1316706211
-
- Mental Health Counselor
- Indianapolis, IN
- NPI 1528764982
-
- Mental Health Counselor
- Indianapolis, IN
- NPI 1942084140
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.