Troy Pedersen, JD, LMHC, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39000352A Issued in IN

Practice address

409 N Main St
Cloverdale, IN 46120-9606

Phone

(317) 408-8968

NPI assigned

Nov 27, 2023

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor

State licenses

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

• Pedersen Counseling

  • Community/Behavioral Health Agency
  • Wilmore, KY
  • NPI 1275978512
  Authorized official Same address or phone

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1235905894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N MAIN ST",
            "city": "CLOVERDALE",
            "state": "IN",
            "postal_code": "461209606",
            "telephone_number": "317-408-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N MAIN ST",
            "city": "CLOVERDALE",
            "state": "IN",
            "postal_code": "461209606",
            "telephone_number": "317-408-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "TROY",
        "credential": "JD, LMHC, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000352A",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "104058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie E Love, MASSAGE THERAPIST
• Michelle McGrotty
• Abigail R Nees
• Jack Newson, RPH
• Michael Painter
• Cassie Anne Perras, PHARMD
• Kayla Potts
• Chloe L Powers
• Harlie Renee Pruitt, PA-C
• Putnam County Hospital (Family Medicine of Cloverdale)

• Mental Health Counselor in Cloverdale, IN
• Providers in Cloverdale, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.