NLT Counseling Service LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

34005642A Issued in IN

Legal business name

NLT COUNSELING SERVICE LLC

Practice address

192 N Avon Ave
Suite 300
Avon, IN 46123-9513

Phone

(317) 672-6400

Fax

(317) 672-6401

NPI assigned

Apr 21, 2016

Organization subpart

No

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

Authorized official

Name

Nakia Thigpen, LCSW

Title

President

Phone

(317) 600-8890

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1295189652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 N AVON AVE",
            "address_2": "SUITE 300",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239513",
            "telephone_number": "317-672-6400",
            "fax_number": "317-672-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 N AVON AVE",
            "address_2": "SUITE 300",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239513",
            "telephone_number": "317-672-6400",
            "fax_number": "317-672-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NLT COUNSELING SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "THIGPEN",
        "authorized_official_first_name": "NAKIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-600-8890",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "34005642A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Avon, IN
• Providers in Avon, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.