Individual provider Active NPI

Jason Matthew Lynch, MS, LMHC, LCAC, ADS

  • Mental Health Counselor
  • Noblesville, IN
National Provider Identifier
1336700236
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39004109A Issued in IN
Practice address
23 S 8TH St Ste 300
Noblesville, IN 46060-2633
Phone
(317) 754-0808
Fax
(317) 983-7383
NPI assigned
Jun 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39004109A IN Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87001667A IN
Mental Health Counselor 101YM0800X 88000903A IN

Addresses

Primary practice location

23 S 8TH St Ste 300
Noblesville, IN 46060-2633

Mailing address

5716 Durham Castle CT Apt 114
Indianapolis, IN 46250-5629
Phone (314) 306-4401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20231122001733 IN Practitioner - Mental Health Counselor 5395193841 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Health Network Inc 95 clinicians

Practice addresses (Care Compare)

23 S 8TH St
Suite 300
Noblesville, IN 46060-2633
Phone (317) 754-0808

6950 Hillsdale CT
Indianapolis, IN 46250-2040
Phone (317) 621-7740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
87001667AINMDAddiction (Substance Use Disorder) Counselor
88000903AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Feb 1, 2024 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Feb 1, 2024 Accepting new patients
The Counseling Center, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Community Health Network, Inc Current Accepting new patients
Community Health Network, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

8102 Clearvista Pkwy
Indianapolis, IN 46256
Phone (317) 572-9319

6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

23 S 8th St
Ste 300
Noblesville, IN 46060
Phone (317) 349-1988

23 S 8th St
Ste 1150
Noblesville, IN 46060
Phone (317) 537-7290

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1336700236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5716 DURHAM CASTLE CT APT 114",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462505629",
            "telephone_number": "314-306-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S 8TH ST STE 300",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460602633",
            "telephone_number": "317-754-0808",
            "fax_number": "317-983-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "JASON",
        "middle_name": "MATTHEW",
        "credential": "MS, LMHC, LCAC, ADS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-22",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004109A",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001667A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88000903A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.