Active NPI
Alan Ecklebarger
- Counselor
- Logansport, IN
National Provider Identifier
1356938542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3930 E Market St
Logansport, IN 46947-2239 - Phone
- (260) 563-8453
- Fax
- (260) 569-0335
- NPI assigned
- Dec 22, 2020
- Last updated
- Dec 22, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
3930 E Market St
Logansport, IN 46947-2239
Mailing address
3563 S State Road 13
Wabash, IN 46992-9162
Phone (260) 563-8453
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friends Counseling Center, Inc | Current | Accepting new patients |
Locations
3930 E Market St
Logansport, IN 46947
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.
-
dba Friends Counseling Center
- Mental Health Counselor
- Wabash, IN
- NPI 1093472664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1356938542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3563 S STATE ROAD 13",
"city": "WABASH",
"state": "IN",
"postal_code": "469929162",
"telephone_number": "260-563-8453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 E MARKET ST",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469472239",
"telephone_number": "260-563-8453",
"fax_number": "260-569-0335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKLEBARGER",
"first_name": "ALAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-22",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Logansport, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.