Individual provider Active NPI

Lindsay Garrison, MFT-INTERN

  • Marriage & Family Therapist
  • Indianapolis, IN
National Provider Identifier
1316277882
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35002056A Issued in IN
Practice address
5638 Professional Cir
Indianapolis, IN 46241
Phone
(888) 714-1927
Fax
(317) 745-9555
NPI assigned
Jan 6, 2010
Last updated
Jul 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MI0056 NV
Marriage & Family Therapist 106H00000X 35002056A IN Primary

Addresses

Primary practice location

5638 Professional Cir
Indianapolis, IN 46241

Mailing address

5101 E US Highway 36
Avon, IN 46123-6645
Phone (888) 714-1927

Other practice location 1

2340 E Calvada Blvd
Ste. 8
Pahrump, NV 89048-5880
Phone (775) 727-8836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213003434 IA Practitioner - Marriage and Family Therapist 6709235914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
University of Nevada, Las Vegas School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedar Rapids Keys to LivingGroup PAC ID 0042559312, 7 clinicians

Practice addresses (Care Compare)

1642 42ND St NE
Cedar Rapids, IA 52402-3076
Phone 3193772161306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35002056AINMDMarriage & Family Therapist
MI0056NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Rapids Keys to Living CurrentSince Jan 1, 2024 Accepting new patients
Cummins Behavioral Health Systems, Incorporated CurrentSince Jul 25, 2019 Accepting new patients

Locations

1642 42nd St NE
Cedar Rapids, IA 52402
Phone (319) 366-2161

1642 42nd St NE
Ste J
Cedar Rapids, IA 52402

5638 Professional Cir
Indianapolis, IN 46241
Phone (317) 247-8900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1316277882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236645",
            "telephone_number": "888-714-1927",
            "fax_number": "317-745-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5638 PROFESSIONAL CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46241",
            "telephone_number": "888-714-1927",
            "fax_number": "317-745-9555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2340 E Calvada Blvd",
            "address_2": "Ste. 8",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "890485880",
            "country_code": "US",
            "telephone_number": "775-727-8836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "LINDSAY",
        "credential": "MFT-INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI0056",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35002056A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.