Jason Keith Gantt, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

35001923A Issued in IN

Practice address

6515 E 82ND St Ste 103
Indianapolis, IN 46250-1544

Phone

(317) 649-4018

Fax

(317) 649-4018

NPI assigned

Aug 5, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1265986301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 WOODSTREAM DRIVE",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461407547",
            "telephone_number": "812-727-3812",
            "fax_number": "812-727-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 E 82ND ST STE 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501544",
            "telephone_number": "317-649-4018",
            "fax_number": "317-649-4018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1176 E McKenzie Rd",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "IN",
            "postal_code": "461401100",
            "country_code": "US",
            "telephone_number": "317-474-6448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANTT",
        "first_name": "JASON",
        "middle_name": "KEITH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-05",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001923A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Marriage & Family Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.