Ibis Counseling and Consulting PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

IBIS COUNSELING AND CONSULTING PC

Practice address

10475 Crosspoint Blvd Ste 250
Indianapolis, IN 46256-3387

Phone

(317) 674-3277

NPI assigned

Oct 2, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Michael Victor Smith Jr., PHD, LMHCNPI 1083089353

Title

Owner

Phone

(317) 674-3277

Specialties & licenses 1

Addresses

Other names 1

• IBIS Counseling and Consulting PC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael V Smith Jr., PH.D.

  • Mental Health Counselor
  • Pendleton, IN
  • NPI 1083089353
  NPD Authorized official

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1336929983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8243 S RISING SUN DR",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460647526",
            "telephone_number": "317-674-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 CROSSPOINT BLVD STE 250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563387",
            "telephone_number": "317-674-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBIS COUNSELING AND CONSULTING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-674-3277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IBIS Counseling and Consulting PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Stephen Iannazzo, DO
• Vlad D Ianus, MD
• Miguel Angel Ibarra Lopez, MD
• Summer L Ibarra, PH.D.
• Stephanie Ibaven, PHARMD
• Sara Ibrahim-Shaikh
• Amdaway Ibrahim, LCSW
• Ashley Anne Ibrahim, M.D.
• George Youssef Ibrahim, PHARMD
• Isra Ibrahim, MD

• Mental Health Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.