Individual provider Active NPI

Ranada Dalton, LMHC, MAMFT

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1255825550
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003303A Issued in IN
Practice address
8401 Moller Rd # 78593
Indianapolis, IN 46268-5553
Phone
(317) 969-5694
Fax
(317) 663-1000
NPI assigned
Jun 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39003303A IN Primary
Counselor 101Y00000X 39003303A IN

Addresses

Primary practice location

8401 Moller Rd # 78593
Indianapolis, IN 46268-5553

Mailing address

PO Box 78593
Indianapolis, IN 46278-0593
Phone (317) 969-5694

Other identifiers 1

IdentifierTypeStateIssuer
000001285099OtherANTHEM

Other names 1

  • Ranada Bowie Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.empoweredlivinginc.net Direct

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

State licenses

LicenseStateTypeSpecialty
39003303AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Living Consulting Mental Health CurrentSince Apr 1, 2020 Accepting new patients

Locations

6214 Morenci Trl
Ste 230
Indianapolis, IN 46268

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": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1255825550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78593",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462780593",
            "telephone_number": "317-969-5694",
            "fax_number": "317-663-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MOLLER RD # 78593",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462685553",
            "telephone_number": "317-969-5694",
            "fax_number": "317-663-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "RANADA",
        "credential": "LMHC, MAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003303A",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "39003303A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000001285099",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.empoweredlivinginc.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8401 Moller Rd # 78593",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462685553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RANADA",
            "last_name": "BOWIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 22, 2024; 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.