Individual provider Active NPI

Jenna Deri, MSED

  • Behavior Analyst
  • Indianapolis, IN
National Provider Identifier
1245950427
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
6925 Parkdale PL
Indianapolis, IN 46254-4673
Phone
(317) 597-4553
NPI assigned
Aug 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

6925 Parkdale PL
Indianapolis, IN 46254-4673

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885

Other practice location 1

3781 Bayley Dr Ste B
Lafayette, IN 47905-8657
Phone (765) 201-4767

Other practice location 2

21 S Park Blvd Ste 21
Greenwood, IN 46143-8838
Phone (317) 449-2104

Other practice location 3

6635 E 21st St Ste 100
Indianapolis, IN 46219-2252
Phone (317) 608-2824

Other practice location 4

355 Quartermaster Ct
Jeffersonville, IN 47130-3670
Phone (812) 258-9802

Other practice location 5

2513 W 2nd St
Marion, IN 46952-3241
Phone (765) 662-0490

Other practice location 6

8409 Merrillville Rd
Merrillville, IN 46410-6109
Phone (219) 205-3463

Other practice location 7

1946 45th St Ste A
Munster, IN 46321-3956
Phone (219) 332-0033

Other practice location 8

1558 E Boulevard Ste A
Kokomo, IN 46902-2587
Phone (765) 252-0530

Other practice location 9

4655 Rosebud Ln
Newburgh, IN 47630-9366
Phone (812) 213-8031

Other practice location 10

801 Congressional Blvd Ste 600
Carmel, IN 46032-5648
Phone (317) 689-7850

Other practice location 11

4422 E State Blvd
Fort Wayne, IN 46815-6917
Phone (260) 471-9263

Other practice location 12

2222 Poshard Dr
Columbus, IN 47203-1843
Phone (812) 302-4750

Other practice location 13

505 S 3rd St
Elkhart, IN 46516-3223
Phone (574) 359-6796

Other practice location 14

551 Eastport Centre Dr
Valparaiso, IN 46383-2898
Phone (219) 255-2454

Other practice location 15

399 Hospital Ln
Terre Haute, IN 47802-4394
Phone (812) 645-2308

Other practice location 16

17551 Generations Dr
South Bend, IN 46635-1589
Phone (574) 400-2169

Other practice location 17

160 Plainfield Village Dr Ste 101
Plainfield, IN 46168-2782
Phone (463) 888-0118

Other practice location 18

9769 Crosspoint Blvd
Indianapolis, IN 46256-3346
Phone (317) 588-2732

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennam@damar.org

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

Practice roles

OrganizationSpecialtyStatusNew patients
Damar Services Inc Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1245950427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 PARKDALE PL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544673",
            "telephone_number": "317-597-4553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3781 Bayley Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479058657",
            "country_code": "US",
            "telephone_number": "765-201-4767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 S Park Blvd Ste 21",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461438838",
            "country_code": "US",
            "telephone_number": "317-449-2104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6635 E 21st St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462192252",
            "country_code": "US",
            "telephone_number": "317-608-2824",
            "fax_number": "317-608-2824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 Quartermaster Ct",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471303670",
            "country_code": "US",
            "telephone_number": "812-258-9802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2513 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469523241",
            "country_code": "US",
            "telephone_number": "765-662-0490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8409 Merrillville Rd",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464106109",
            "country_code": "US",
            "telephone_number": "219-205-3463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1946 45th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463213956",
            "country_code": "US",
            "telephone_number": "219-332-0033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1558 E Boulevard Ste A",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469022587",
            "country_code": "US",
            "telephone_number": "765-252-0530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4655 Rosebud Ln",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476309366",
            "country_code": "US",
            "telephone_number": "812-213-8031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Congressional Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460325648",
            "country_code": "US",
            "telephone_number": "317-689-7850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4422 E State Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468156917",
            "country_code": "US",
            "telephone_number": "260-471-9263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 Poshard Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472031843",
            "country_code": "US",
            "telephone_number": "812-302-4750",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465163223",
            "country_code": "US",
            "telephone_number": "574-359-6796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "551 Eastport Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463832898",
            "country_code": "US",
            "telephone_number": "219-255-2454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "399 Hospital Ln",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478024394",
            "country_code": "US",
            "telephone_number": "812-645-2308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17551 Generations Dr",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466351589",
            "country_code": "US",
            "telephone_number": "574-400-2169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Plainfield Village Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IN",
            "postal_code": "461682782",
            "country_code": "US",
            "telephone_number": "463-888-0118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9769 Crosspoint Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462563346",
            "country_code": "US",
            "telephone_number": "317-588-2732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERI",
        "first_name": "JENNA",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennam@damar.org",
            "affiliation": "N",
            "address_1": "6067 Decatur Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462419606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.