Organization Active NPI

Courtland, LLC

Doing business as The Growth Center for Counseling and Wellness

  • Psychiatry Physician
  • New Albany, IN
National Provider Identifier
1417154584
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01043542A Issued in IN
Legal business name
COURTLAND, LLC
Doing business as
The Growth Center for Counseling and Wellness
Practice address
4925 Charlestown Rd
New Albany, IN 47150-9426
Phone
(812) 941-9200
Fax
(812) 941-9205
NPI assigned
Jul 1, 2007
Last updated
Sep 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Authorized official

Name
Dr. Courtney E Land, D.MINNPI 1932256096
Title
Owner
Phone
(812) 941-9200

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39000734A IN
Clinical Social Worker 1041C0700X 34005525A IN
Marriage & Family Therapist 106H00000X 0138 KY
Marriage & Family Therapist 106H00000X 35001337A IN
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 28156610A IN
Psychiatry Physician 2084P0800X 01043542A IN Primary

Addresses

Primary practice location

4925 Charlestown Rd
New Albany, IN 47150-9426

Mailing address

4925 Charlestown Rd
New Albany, IN 47150-9426
Phone (812) 941-9200

Other identifiers 1

IdentifierTypeStateIssuer
000000525541OtherINANTHEM

Other names 1

  • THE GROWTH CENTER FOR COUNSELING AND WELLNESS Doing business as

National Provider Directory

National Provider Directory

Locations

4925 Charlestown Rd
New Albany, IN 47150
Phone (812) 941-9200

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1183248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1417154584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 CHARLESTOWN RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509426",
            "telephone_number": "812-941-9200",
            "fax_number": "812-941-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 CHARLESTOWN RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509426",
            "telephone_number": "812-941-9200",
            "fax_number": "812-941-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-01",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "LAND",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-941-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.MIN"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000734A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005525A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "0138",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001337A",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "IN",
            "license": "28156610A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01043542A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000525541",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE GROWTH CENTER FOR COUNSELING AND WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.