Organization Active NPI

Anthony & Denise Mullenhour

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1275935447
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24005898A Issued in IN
Legal business name
ANTHONY & DENISE MULLENHOUR
Practice address
3307 W 96TH St
Indianapolis, IN 46268-1106
Phone
(317) 441-2131
Fax
(317) 876-3600
NPI assigned
Sep 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Denise Mullenhour, LCSWNPI 1609106178
Title
Partner
Phone
(317) 441-2131

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 24005898A IN Primary

Addresses

Primary practice location

3307 W 96TH St
Indianapolis, IN 46268-1106

Mailing address

9256 Andiron Dr
Indianapolis, IN 46250-1486
Phone (317) 441-2131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141103000808 IN Part B Supplier - Clinic/Group Practice 4688895873 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

8888 Keystone Xing
Ste 1375
Indianapolis, IN 46240
Phone (317) 426-7345

9011 N Meridian St
Ste 250
Indianapolis, IN 46260
Phone (317) 260-6660

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1275935447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9256 ANDIRON DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501486",
            "telephone_number": "317-441-2131",
            "fax_number": "317-876-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 W 96TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681106",
            "telephone_number": "317-441-2131",
            "fax_number": "317-876-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY & DENISE MULLENHOUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "MULLENHOUR",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "317-441-2131",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "24005898A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 19, 2014; 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.