Indiana Family Therapy Center Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INDIANA FAMILY THERAPY CENTER INC

Practice address

1103 E Main St
Brownsburg, IN 46112-1431

Phone

(317) 965-0583

NPI assigned

Dec 8, 2023

Last updated

Feb 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erin CoramNPI 1639223993

Title

LMFT

Phone

(317) 965-0583

Specialties & licenses 4

Addresses

Practitioners 1

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.

• Erin L Coram, LMFT

  • Mental Health Counselor
  • Brownsburg, IN
  • NPI 1639223993
  NPD Authorized official

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1306613302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 E MAIN ST",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121431",
            "telephone_number": "317-965-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 E MAIN ST",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121431",
            "telephone_number": "317-965-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA FAMILY THERAPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "CORAM",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "317-965-0583"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Brownsburg, IN
• Providers in Brownsburg, 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 Feb 28, 2024; 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.