Individual provider Active NPI

Jessica Leann Greenslade, MA, LCAC, LMHC-A

  • Addiction (Substance Use Disorder) Counselor
  • Anderson, IN
National Provider Identifier
1396686689
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
87001847A Issued in IN
Practice address
3125 S Scatterfield Rd Ste 200
Anderson, IN 46013-1804
Phone
(765) 298-4622
Fax
(765) 298-4990
NPI assigned
Apr 2, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87001847A IN Primary

Addresses

Primary practice location

3125 S Scatterfield Rd Ste 200
Anderson, IN 46013-1804

Mailing address

3125 S Scatterfield Rd Ste 200
Anderson, IN 46013-1804
Phone (765) 298-4622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6626 E 75TH St
Suite 500
Indianapolis, IN 46250-2890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
87001847AINMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1396686689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 S SCATTERFIELD RD STE 200",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460131804",
            "telephone_number": "765-298-4622",
            "fax_number": "765-298-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 S SCATTERFIELD RD STE 200",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460131804",
            "telephone_number": "765-298-4622",
            "fax_number": "765-298-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSLADE",
        "first_name": "JESSICA",
        "middle_name": "LEANN",
        "name_prefix": "Ms.",
        "credential": "MA, LCAC, LMHC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001847A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.