Individual provider Active NPI

Tausha Mockabee, MS, CEO, OWNER

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1265639686
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
549 N Belmont Ave
Indianapolis, IN 46222-3805
Phone
(317) 224-4171
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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 Primary
Counselor 101Y00000X

Addresses

Primary practice location

549 N Belmont Ave
Indianapolis, IN 46222-3805

Mailing address

549 N Belmont Ave
Indianapolis, IN 46222-3805
Phone (317) 224-4171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1265639686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 N BELMONT AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462223805",
            "telephone_number": "317-224-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 N BELMONT AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462223805",
            "telephone_number": "317-224-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCKABEE",
        "first_name": "TAUSHA",
        "credential": "MS, CEO, OWNER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.