Connie'S Clubhouse

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CONNIE'S CLUBHOUSE

Doing business as

Connie's Clubhoues Inc

Practice address

5142 Madison Ave Ste 7
Indianapolis, IN 46227-4248

Phone

(435) 621-4153

NPI assigned

Jul 1, 2025

Organization subpart

No

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

Authorized official

Name

Taylor Hines Miranda

Title

Executive Director

Phone

(435) 621-4153

Specialties & licenses 9

Addresses

Other names 1

• Connie's Clubhoues Inc Doing business as

Locations

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1396634580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5142 MADISON AVE STE 7",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462274248",
            "telephone_number": "435-621-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5142 MADISON AVE STE 7",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462274248",
            "telephone_number": "435-621-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNIE'S CLUBHOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "HINES MIRANDA",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "435-621-4153"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connie's Clubhoues Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Connie's Clubhoues Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill C Conner, PHARM.D.
• Kesha Conner
• Michelle Lynn Conner
• Robert A Conner, CST/CFA
• Connie M Ananias PC
• Connieflower Behavioral Health
• James Connolly II, M.D.
• Monica Ann Connolly, LCSW
• Casey Connor, MD
• Corie L Connor, A-GNP-C

• 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 Mar 19, 2026; 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.