NPIMap

Organization Active NPI

Origins Family Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenfield, IN
National Provider Identifier
1275075475
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ORIGINS FAMILY COUNSELING, LLC
Practice address
28 N East St
Greenfield, IN 46140-2167
Phone
(176) 493-4311
Fax
(317) 649-4375
NPI assigned
Nov 6, 2016
Last updated
Jan 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Mrs. Kristina M Graber, MA, LMFTNPI 1083007462
Title
Owner
Phone
(317) 649-4311

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Community/Behavioral Health Agency 251S00000X 35001907A IN

Addresses

Primary practice location

28 N East St
Greenfield, IN 46140-2167

Mailing address

28 N East St
Greenfield, IN 46140-2167
Phone (176) 493-4311

Other identifiers 1

IdentifierTypeStateIssuer
300044207MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200130000514 IN Part B Supplier - Clinic/Group Practice 3577999184 Receives reassigned benefits from 10 practitioners
Practice locations: Greenfield, IN

National Provider Directory

National Provider Directory

Locations

147 W Green Meadows Dr
Ste 1
Greenfield, IN 46140

18 E Main St
Ste 216
Greenfield, IN 46140
Phone (317) 649-4311

28 N East St
Greenfield, IN 46140
Phone (317) 649-4311

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1478390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1275075475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 N EAST ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402167",
            "telephone_number": "176-493-4311",
            "fax_number": "317-649-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N EAST ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402167",
            "telephone_number": "176-493-4311",
            "fax_number": "317-649-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGINS FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "GRABER",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-649-4311",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "35001907A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300044207",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.