Organization Active NPI

Rediscover Counseling, LLC

  • Clinical Social Worker
  • Brownsburg, IN
National Provider Identifier
1306689138
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REDISCOVER COUNSELING, LLC
Practice address
554 Pit Rd
Brownsburg, IN 46112-9555
Phone
(317) 742-9400
Fax
(317) 742-9414
NPI assigned
Jun 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Mr. Randolph Clark, LCSWNPI 1245665363
Title
Owner
Phone
(317) 407-3336

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 Primary

Addresses

Primary practice location

554 Pit Rd
Brownsburg, IN 46112-9555

Mailing address

554 Pit Rd
Brownsburg, IN 46112-9555
Phone (317) 742-9400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250403002321 IN Part B Supplier - Clinic/Group Practice 9436673167 Receives reassigned benefits from 1 practitioner
Practice locations: Brownsburg, IN

National Provider Directory

National Provider Directory

Locations

554 Pit Rd
Brownsburg, IN 46112
Phone (317) 742-9400

554 Pit Rd
Ste 210
Brownsburg, IN 46112
Phone (317) 407-3336

554 Pit Rd
Ste 10
Brownsburg, IN 46112

Practitioners & affiliated clinicians

Practitioners 3

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": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1306689138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 PIT RD",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461129555",
            "telephone_number": "317-742-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 PIT RD",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461129555",
            "telephone_number": "317-742-9400",
            "fax_number": "317-742-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDISCOVER COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-407-3336",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.