Organization Active NPI

Midwest Therapy Collective, LLC

  • Clinical Social Worker
  • Whitestown, IN
National Provider Identifier
1407549884
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MIDWEST THERAPY COLLECTIVE, LLC
Practice address
7043 Coppice LN Apt 7207
Whitestown, IN 46075-9042
Phone
(317) 324-8415
NPI assigned
May 31, 2023
Last updated
May 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Samantha Jo James, LIMHP, LCSWNPI 1174146773
Title
Founder
Phone
(414) 630-2011

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

7043 Coppice LN Apt 7207
Whitestown, IN 46075-9042

Mailing address

49 Boone VLG Ste 103
Zionsville, IN 46077-1231
Phone (317) 324-8415

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1407549884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 BOONE VLG STE 103",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771231",
            "telephone_number": "317-324-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7043 COPPICE LN APT 7207",
            "city": "WHITESTOWN",
            "state": "IN",
            "postal_code": "460759042",
            "telephone_number": "317-324-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST THERAPY COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "414-630-2011",
        "authorized_official_credential": "LIMHP, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.