Organization Active NPI

Koda Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Zionsville, IN
National Provider Identifier
1356114672
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KODA THERAPY LLC
Practice address
1475 W Oak St Unit 811
Zionsville, IN 46077-2040
Phone
(317) 207-0765
NPI assigned
Oct 31, 2023
Last updated
Nov 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Leah Cook, LMHCNPI 1518531789
Title
Managing Member
Phone
(317) 207-0765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1475 W Oak St Unit 811
Zionsville, IN 46077-2040

Mailing address

1475 W Oak St Unit 811
Zionsville, IN 46077-2040

National Provider Directory

National Provider Directory

Locations

9640 Commerce Dr
Ste 422
Carmel, IN 46032

1475 W Oak St
Unit 811
Zionsville, IN 46077
Phone (317) 207-0765

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1356114672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 W OAK ST UNIT 811",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460772040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 W OAK ST UNIT 811",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460772040",
            "telephone_number": "317-207-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KODA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "317-207-0765",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

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