NPIMap

Organization Active NPI

Self-Concepts Global Services

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1255729950
Registry record updated Jan 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34000416A Issued in IN
Legal business name
SELF-CONCEPTS GLOBAL SERVICES
Practice address
1640 Kessler Boulevard West Dr
Indianapolis, IN 46228-1955
Phone
(317) 672-3688
Fax
(317) 672-3688
NPI assigned
Jan 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2015

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

Authorized official

Name
Akosua A Bakeman Gyeaboa, LCSW, LCAC, CCTP
Title
Director
Phone
(317) 672-3688

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 87001017A IN
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 87001017A IN
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X 87001017A IN
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 87001017A IN
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 34000416A IN Primary
School Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041S0200X 34000416A IN
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 87001017A IN

Addresses

Primary practice location

1640 Kessler Boulevard West Dr
Indianapolis, IN 46228-1955

Mailing address

1640 Kessler Boulevard West Dr
Indianapolis, IN 46228-1955
Phone (317) 672-3688

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420243200000",
    "number": "1255729950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 KESSLER BOULEVARD WEST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462281955",
            "telephone_number": "317-672-3688",
            "fax_number": "317-672-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 KESSLER BOULEVARD WEST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462281955",
            "telephone_number": "317-672-3688",
            "fax_number": "317-672-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF-CONCEPTS GLOBAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-03",
        "last_updated": "2015-01-03",
        "status": "A",
        "authorized_official_last_name": "BAKEMAN GYEABOA",
        "authorized_official_first_name": "AKOSUA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-672-3688",
        "authorized_official_credential": "LCSW, LCAC, CCTP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001017A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "87001017A",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": "IN",
            "license": "87001017A",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "87001017A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000416A",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": "IN",
            "license": "34000416A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "87001017A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 3, 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.