Organization Active NPI

Ekklesia Counseling Services LLC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1386234029
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EKKLESIA COUNSELING SERVICES LLC
Practice address
9511 Angola CT Ste 222
Indianapolis, IN 46268-1119
Phone
(317) 840-8367
NPI assigned
Jan 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Daniel Eccles, MA, LMHCA
Title
Owner
Phone
(317) 840-8367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

9511 Angola CT Ste 222
Indianapolis, IN 46268-1119

Mailing address

9511 Angola CT Ste 222
Indianapolis, IN 46268-1119
Phone (317) 840-8367

National Provider Directory

National Provider Directory

Locations

9511 Angola Ct
Ste 222
Indianapolis, IN 46268
Phone (317) 840-8367

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1386234029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9511 ANGOLA CT STE 222",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681119",
            "telephone_number": "317-840-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9511 ANGOLA CT STE 222",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681119",
            "telephone_number": "317-840-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKKLESIA COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "ECCLES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-840-8367",
        "authorized_official_credential": "MA, LMHCA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.