Active NPI
Mackenzie Michelle Groce
- Behavior Technician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-149287
- Practice address
- 618 N High School Rd
Indianapolis, IN 46214-3684 - Phone
- (317) 731-7777
- NPI assigned
- Jan 13, 2025
- Last updated
- Jan 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-149287 | IN | Primary |
Addresses
Primary practice location
618 N High School Rd
Indianapolis, IN 46214-3684
Mailing address
430 N Stockton St
Jamestown, IN 46147-8805
Phone (317) 389-7080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-149287 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behaviorworks LLC | Current | Accepting new patients |
Locations
618 N High School Rd
Indianapolis, IN 46214
Phone (317) 381-0355
618 N High School Rd
Ste A
Indianapolis, IN 46214
Phone (317) 731-7777
19043 Cumberland Rd
Noblesville, IN 46060
Phone (317) 731-7777
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1336959287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 N STOCKTON ST",
"city": "JAMESTOWN",
"state": "IN",
"postal_code": "461478805",
"telephone_number": "317-389-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 N HIGH SCHOOL RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462143684",
"telephone_number": "317-731-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROCE",
"first_name": "MACKENZIE",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-13",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-20-149287",
"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 Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.