Organization Active NPI

Counselworx

  • Community/Behavioral Health Agency
  • Brownsburg, IN
National Provider Identifier
1255705406
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
39002195A Issued in IN
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 & ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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.NPI 1295100600
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)CodeLicenseStatePrimary
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 Doing business as

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.

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.

Verify at the official NPI Registry.