Active NPI
Lunar Oasis, LLC
- Marriage & Family Therapist
- Indianapolis, IN
National Provider Identifier
1326549098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 35001938A
- Legal business name
- LUNAR OASIS, LLC
- Practice address
- 5401 S East St Ste 207
Indianapolis, IN 46227-2092 - Phone
- (317) 679-4181
- NPI assigned
- Feb 27, 2018
- Last updated
- Feb 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Everett, LMFT, CSAYC
- Title
- Director
- Phone
- (317) 679-4181
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 35001938A | IN | Primary |
Addresses
Primary practice location
5401 S East St Ste 207
Indianapolis, IN 46227-2092
Mailing address
6360 Avalon Blvd
Avon, IN 46123-9706
Phone (317) 679-4181
National Provider Directory
National Provider DirectoryLocations
5401 S East St
Ste 207
Indianapolis, IN 46227
Phone (317) 679-4181
Practitioners & affiliated clinicians
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.
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- Winter Garden, FL
- NPI 1952850182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519689600000",
"number": "1326549098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6360 AVALON BLVD",
"city": "AVON",
"state": "IN",
"postal_code": "461239706",
"telephone_number": "317-679-4181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 S EAST ST STE 207",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462272092",
"telephone_number": "317-679-4181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUNAR OASIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-27",
"last_updated": "2018-02-27",
"status": "A",
"authorized_official_last_name": "EVERETT",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "317-679-4181",
"authorized_official_credential": "LMFT, CSAYC"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35001938A",
"primary": true
}
],
"identifiers": [],
"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 Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.