Individual provider Active NPI

Laura Rose Eichenberger, LMFT

  • Marriage & Family Therapist
  • Indianapolis, IN
National Provider Identifier
1225812795
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35002333A Issued in IN
Practice address
8180 Clearvista Pkwy Ste 200
Indianapolis, IN 46256-4622
Phone
(317) 355-2560
NPI assigned
Aug 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35002333A IN Primary

Addresses

Primary practice location

8180 Clearvista Pkwy Ste 200
Indianapolis, IN 46256-4622

Mailing address

8180 Clearvista Pkwy Ste 200
Indianapolis, IN 46256-4622
Phone (317) 355-2560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231219003141 IN Practitioner - Marriage and Family Therapist 4385094267 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35002333AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Network, Inc CurrentSince Jan 1, 2024 Accepting new patients
Community Health Network, Inc Current Accepting new patients
Community Health Network, Inc. Past Accepting new patients
Community Physicians of Indiana Inc PastSince Sep 5, 2023 Accepting new patients

Locations

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533

1525 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 322-4087

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1225812795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 CLEARVISTA PKWY STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564622",
            "telephone_number": "317-355-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 CLEARVISTA PKWY STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564622",
            "telephone_number": "317-355-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHENBERGER",
        "first_name": "LAURA",
        "middle_name": "ROSE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35002333A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.