Organization Active NPI

Lunar Oasis, LLC

  • Marriage & Family Therapist
  • Indianapolis, IN
National Provider Identifier
1326549098
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35001938A Issued in IN
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Authorized official

Name
Elizabeth Everett, LMFT, CSAYCNPI 1952850182
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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.