Organization Active NPI

Humble Humility Mental Health P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Indianapolis, IN
National Provider Identifier
1396458097
Registry record updated Mar 26, 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
HUMBLE HUMILITY MENTAL HEALTH P.C.
Practice address
55 S State Ave Ste 369
Indianapolis, IN 46201-3873
Phone
(317) 983-9945
Fax
(463) 271-7786
NPI assigned
Dec 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2023

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

Authorized official

Name
Latoya C EvansNPI 1235804642
Title
Ceo
Phone
(317) 983-9945

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0805X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

55 S State Ave Ste 369
Indianapolis, IN 46201-3873

Mailing address

6101 N. Keystone Ave.
Suite 100 #1370
Indianapolis, IN 46220
Phone (317) 983-9945

National Provider Directory

National Provider Directory

Locations

55 S State Ave
Ste 369
Indianapolis, IN 46201
Phone (317) 983-9945

3607 W 16th St
Ste B3
Indianapolis, IN 46222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679788800000",
    "number": "1396458097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 N. KEYSTONE AVE.",
            "address_2": "SUITE 100 #1370",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46220",
            "telephone_number": "317-983-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S STATE AVE STE 369",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462013873",
            "telephone_number": "317-983-9945",
            "fax_number": "463-271-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBLE HUMILITY MENTAL HEALTH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2023-03-26",
        "certification_date": "2023-03-26",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-983-9945"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 26, 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.