Individual provider Active NPI

Erica Diane Pherson, LMHC

  • Professional Counselor
  • Fishers, IN
National Provider Identifier
1235564121
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
39002374A Issued in IN
Practice address
11950 Fishers Crossing Dr
Fishers, IN 46038-2702
Phone
(317) 595-5555
NPI assigned
Sep 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 39002374A IN Primary

Addresses

Primary practice location

11950 Fishers Crossing Dr
Fishers, IN 46038-2702

Mailing address

334 Longwood St
Carmel, IN 46032-6003
Phone (317) 752-3837

Other names 1

  • Erica Diane Edler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39002374AINMDProfessional Counselor

Interoperability endpoints

  • Direct secure messaging: erica.pherson.1@30520.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1235564121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 LONGWOOD ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460326003",
            "telephone_number": "317-752-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11950 FISHERS CROSSING DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382702",
            "telephone_number": "317-595-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHERSON",
        "first_name": "ERICA",
        "middle_name": "DIANE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IN",
            "license": "39002374A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "EDLER",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 7, 2013; 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.