Active NPI
Joann R Hiscox
- Mental Health Counselor
- Lafayette, IN
National Provider Identifier
1407979917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39000412A
- Legal business name
- JOANN R HISCOX
- Doing business as
- ACTION Counseling Services
- Practice address
- 200 Ferry St
Suite K
Lafayette, IN 47901-1172 - Phone
- (765) 428-8108
- Fax
- (765) 429-7088
- NPI assigned
- Apr 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joann Hiscox, MS, NCC, LMHC
- Title
- Owner
- Phone
- (765) 428-8108
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39000412A | IN | Primary |
Addresses
Primary practice location
200 Ferry St
Suite K
Lafayette, IN 47901-1172
Mailing address
200 Ferry St
Suite K
Lafayette, IN 47901-1172
Phone (765) 428-8108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200336200A | Medicaid | IN |
Other names 1
- ACTION Counseling Services
National Provider Directory
National Provider DirectoryLocations
200 Ferry St
Ste K
Lafayette, IN 47901
Phone (765) 428-8108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1407979917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 FERRY ST",
"address_2": "SUITE K",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479011172",
"telephone_number": "765-428-8108",
"fax_number": "765-429-7088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 FERRY ST",
"address_2": "SUITE K",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479011172",
"telephone_number": "765-428-8108",
"fax_number": "765-429-7088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOANN R HISCOX",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-09",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "HISCOX",
"authorized_official_first_name": "JOANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "765-428-8108",
"authorized_official_credential": "MS, NCC, LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39000412A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200336200A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ACTION Counseling Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.