Organization Active NPI

Joann R Hiscox

  • Mental Health Counselor
  • Lafayette, IN
National Provider Identifier
1407979917
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39000412A Issued in IN
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

Updated by the provider on Jun 17, 2008

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200336200AMedicaidIN

Other names 1

  • ACTION Counseling Services Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.