Organization Active NPI

Blue River Counseling Associates Inc

  • Clinical Social Worker
  • Shelbyville, IN
National Provider Identifier
1215910377
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34001457A Issued in IN
Legal business name
BLUE RIVER COUNSELING ASSOCIATES INC
Practice address
15 S Tompkins St
Shelbyville, IN 46176-1205
Phone
(317) 392-0171
Fax
(317) 392-0171
NPI assigned
Nov 22, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Deborah Lee Griffey, MSW, LCSWNPI 1265415335
Title
President
Phone
(317) 392-0171

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
Clinical Social Worker 1041C0700X 34001457A IN Primary

Addresses

Primary practice location

15 S Tompkins St
Shelbyville, IN 46176-1205

Mailing address

15 S Tompkins St
P O Box 1042
Shelbyville, IN 46176-1205
Phone (317) 392-0171

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215910377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S TOMPKINS ST",
            "address_2": "P O BOX 1042",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461761205",
            "telephone_number": "317-392-0171",
            "fax_number": "317-392-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S TOMPKINS ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461761205",
            "telephone_number": "317-392-0171",
            "fax_number": "317-392-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIVER COUNSELING ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-392-0171",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001457A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.