Organization Active NPI

Trinity Consulting & Counseling, Inc.

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1326199894
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TRINITY CONSULTING & COUNSELING, INC.
Practice address
5170 E 65TH St
Ste. 107
Indianapolis, IN 46220-4892
Phone
(317) 702-4600
Fax
(317) 252-0274
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Ms. Tina N Johnson-Fry Smith, MS LMFT LMHC
Title
Ceo and Therapist
Phone
(317) 492-3871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5170 E 65TH St
Ste. 107
Indianapolis, IN 46220-4892

Mailing address

5170 E 65TH St
Ste 107
Indianapolis, IN 46220-4892
Phone (317) 702-4600

Other identifiers 1

IdentifierTypeStateIssuer
200837620AMedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1326199894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 E 65TH ST",
            "address_2": "STE 107",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204892",
            "telephone_number": "317-702-4600",
            "fax_number": "317-252-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 E 65TH ST",
            "address_2": "STE. 107",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204892",
            "telephone_number": "317-702-4600",
            "fax_number": "317-252-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CONSULTING & COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-FRY SMITH",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO AND THERAPIST",
        "authorized_official_telephone_number": "317-492-3871",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS LMFT LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200837620A",
            "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 5, 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.