Active NPI
Counselworx
- Community/Behavioral Health Agency
- Brownsburg, IN
National Provider Identifier
1255705406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 39002195A
- Legal business name
- COUNSELWORX
- Practice address
- 1650 Grassland Dr
Brownsburg, IN 46112-7893 - Phone
- (317) 946-3495
- NPI assigned
- Nov 25, 2015
- Organization subpart
- Yes
- Parent organization
- MIKEL KELLY & ASSOCIATES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mikel E Kelly, M.A., L.M.H.C.
- Title
- Director/Professional Counselor
- Phone
- (317) 946-3495
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 39002195A | IN | Primary |
Addresses
Primary practice location
1650 Grassland Dr
Brownsburg, IN 46112-7893
Mailing address
1650 Grassland Dr
Brownsburg, IN 46112-7893
Phone (317) 946-3495
Other names 1
- Mikel Kelly & Associates
National Provider Directory
National Provider Directory- Part of
- Counselworx
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Brownsburg, IN
- NPI 1295100600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448409600000",
"number": "1255705406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 GRASSLAND DR",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461127893",
"telephone_number": "317-946-3495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 GRASSLAND DR",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461127893",
"telephone_number": "317-946-3495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNSELWORX",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIKEL KELLY & ASSOCIATES",
"enumeration_date": "2015-11-25",
"last_updated": "2015-11-25",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "MIKEL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DIRECTOR/PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "317-946-3495",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.A., L.M.H.C."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IN",
"license": "39002195A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mikel Kelly & Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brownsburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.