Komla Djidzo Bokor

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

12522 Tealwood Dr
Indianapolis, IN 46236-8170

Phone

(317) 414-6294

NPI assigned

Dec 16, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• DO Over Project LLC

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1356813158
  NPD (past)

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1356989776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12522 TEALWOOD DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368170",
            "telephone_number": "317-414-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12522 TEALWOOD DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368170",
            "telephone_number": "317-414-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKOR",
        "first_name": "KOMLA",
        "middle_name": "DJIDZO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Boink
• Audrey Jane Boise
• Alexandra Bojrab, DDS, MSD
• Louis D Bojrab Jr., M.D.
• Margo Bokhart
• James J Boland Jr., PT
• Megan Kathleen Boland, DPT
• James Edwin Bolander II, M.D.
• Stacey Bolander, RDN, RN
• Keionya Bolar

• Mental Health Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.