Individual provider Active NPI

Mercedes Royletta Horace, LCAC

  • Addiction (Substance Use Disorder) Counselor
  • Carmel, IN
National Provider Identifier
1346726361
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
87001169A Issued in IN
Practice address
2237 E 151St St Apt 11
Carmel, IN 46033-7783
Phone
(219) 484-5803
NPI assigned
Jul 12, 2018
Last updated
Jul 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87001169A IN Primary

Addresses

Primary practice location

2237 E 151St St Apt 11
Carmel, IN 46033-7783

Mailing address

2237 E 151St St Apt 11
Carmel, IN 46033-7783
Phone (219) 484-5803

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
I20240201000282 IN Practitioner - Mental Health Counselor 5092168401 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87001169AINMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bowen Health Inc CurrentSince Apr 11, 2022 Accepting new patients
Bowen Health Inc Current Accepting new patients

Locations

2860 Northpark Ave
Huntington, IN 46750
Phone (260) 356-2875

2312 S Dixon Rd
Ste 205
Kokomo, IN 46902

2621 E Jefferson St
Warsaw, IN 46580
Phone (574) 269-0573

850 N Harrison St
Warsaw, IN 46580
Phone (219) 267-7169

Organizations & group practices 2

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": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1346726361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 E 151ST ST APT 11",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460337783",
            "telephone_number": "219-484-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 E 151ST ST APT 11",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460337783",
            "telephone_number": "219-484-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORACE",
        "first_name": "MERCEDES",
        "middle_name": "ROYLETTA",
        "credential": "LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001169A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.