Organization Active NPI

Jordyn Ackerman LLC

  • Marriage & Family Therapist
  • Fishers, IN
National Provider Identifier
1215760871
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
JORDYN ACKERMAN LLC
Practice address
11 Municipal Dr Ste 200
Fishers, IN 46038-1634
Phone
(812) 820-0786
NPI assigned
Aug 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Jordyn Ackerman, LMFT
Title
Ceo
Phone
(812) 820-0786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

11 Municipal Dr Ste 200
Fishers, IN 46038-1634

Mailing address

6895 Sun River Dr
Fishers, IN 46038-2724
Phone (812) 820-0786

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1215760871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6895 SUN RIVER DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382724",
            "telephone_number": "812-820-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MUNICIPAL DR STE 200",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381634",
            "telephone_number": "812-820-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDYN ACKERMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "JORDYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-820-0786",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.