Active NPI
Kevin Clay Swaim, MA,LMFT,LCSW,LMHC
- Mental Health Counselor
- Indianapolis, IN
National Provider Identifier
1306927769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39000420A
- Practice address
- 5150 E Stop 11 Rd Ste 14
Indianapolis, IN 46237-8629 - Phone
- (317) 409-3128
- Fax
- (317) 889-4499
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39000420A | IN | Primary |
| Clinical Social Worker | 1041C0700X | 34002741A | IN | |
| Marriage & Family Therapist | 106H00000X | 35000135A | IN |
Addresses
Primary practice location
5150 E Stop 11 Rd Ste 14
Indianapolis, IN 46237-8629
Mailing address
5150 E Stop 11 Rd Ste 14
Indianapolis, IN 46237-8629
Phone (317) 409-3128
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34002741A | Other | IN | LCSW LICENSE |
| 35000135A | Other | IN | LMFT LICENSE |
| 39000420A | Other | IN | LMHC LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39000420A | IN | MD | Mental Health Counselor |
| 34002741A | IN | MD | Clinical Social Worker |
| 35000135A | IN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387756800000",
"number": "1306927769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 E STOP 11 RD STE 14",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462378629",
"telephone_number": "317-409-3128",
"fax_number": "317-889-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5150 E STOP 11 RD STE 14",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462378629",
"telephone_number": "317-409-3128",
"fax_number": "317-889-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAIM",
"first_name": "KEVIN",
"middle_name": "CLAY",
"name_prefix": "Mr.",
"credential": "MA,LMFT,LCSW,LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2013-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39000420A",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34002741A",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35000135A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW LICENSE",
"identifier": "34002741A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT LICENSE",
"identifier": "35000135A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMHC LICENSE",
"identifier": "39000420A",
"state": "IN"
}
],
"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 Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.