Sacred Spring Therapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SACRED SPRING THERAPY, LLC

Practice address

2809 W Godman Ave Ste 4
Muncie, IN 47304-4415

Phone

(765) 716-1950

NPI assigned

Jan 6, 2022

Organization subpart

No

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

Authorized official

Name

Audrey Hicks, MSW, LCSWNPI 1932653250

Title

Ceo

Phone

(765) 716-1950

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Audrey Hicks, LCSW

  • Clinical Social Worker
  • Muncie, IN
  • NPI 1932653250
  NPD Authorized official

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1275294779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N ALDEN RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043901",
            "telephone_number": "812-361-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 W GODMAN AVE STE 4",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044415",
            "telephone_number": "765-716-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED SPRING THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-716-1950",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Renee Russo
• Anna Ryan
• Kasey Merritt Ryan, DDS, MSD
• Hannah Ryback, RBT
• Henry Sabijon, PT
• Matthew Sadgebury
• Erin L Sadler, PHD
• Joshua Sailer
• Tyhlar J Sain
• Autumn Saiz

• Mental Health Counselor in Muncie, IN
• Providers in Muncie, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.