Individual provider Active NPI

Theresia Maria Paauwe, LMHC

  • Mental Health Counselor
  • Fishers, IN
National Provider Identifier
1356048169
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39004307A Issued in IN
Practice address
14074 Trade Center Dr Ste 115
Fishers, IN 46038-4567
Phone
(317) 207-2253
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39004307A IN Primary

Addresses

Primary practice location

14074 Trade Center Dr Ste 115
Fishers, IN 46038-4567

Mailing address

14074 Trade Center Dr Ste 115
Fishers, IN 46038-4567
Phone (317) 207-2253

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

LicenseStateTypeSpecialty
39004307AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
180 Counseling, LLC Mental Health Current Accepting new patients

Locations

14074 Trade Center Dr
Ste 115
Fishers, IN 46038
Phone (317) 207-2253

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1356048169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14074 TRADE CENTER DR STE 115",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384567",
            "telephone_number": "317-207-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14074 TRADE CENTER DR STE 115",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384567",
            "telephone_number": "317-207-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAAUWE",
        "first_name": "THERESIA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004307A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.