Organization Active NPI

Kairos Counseling

  • Professional Counselor
  • Rockport, IN
National Provider Identifier
1346743952
Registry record updated Mar 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KAIROS COUNSELING
Practice address
928 Sycamore St Ste 2
Rockport, IN 47635-9283
Phone
(812) 457-7215
NPI assigned
Mar 10, 2018
Organization subpart
Yes
Parent organization
KAIROS COUNSELINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2018

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

Authorized official

Name
Lana Bunner, LCSW
Title
Owner
Phone
(812) 457-7215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

928 Sycamore St Ste 2
Rockport, IN 47635-9283

Mailing address

928 Sycamore St Ste 2
Rockport, IN 47635-9283
Phone (812) 457-7215

Other names 1

  • Kairos Counseling Doing business as

National Provider Directory

National Provider Directory
Part of
Kairos Counseling

Locations

928 Sycamore St
Ste 2
Rockport, IN 47635
Phone (812) 457-7215

NPI Registry JSON

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

{
    "created_epoch": "1520640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520640000000",
    "number": "1346743952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 SYCAMORE ST STE 2",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476359283",
            "telephone_number": "812-457-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 SYCAMORE ST STE 2",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476359283",
            "telephone_number": "812-457-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAIROS COUNSELING",
        "enumeration_date": "2018-03-10",
        "last_updated": "2018-03-10",
        "status": "A",
        "authorized_official_last_name": "BUNNER",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-457-7215",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kairos Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockport, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.