Individual provider Active NPI

Anthony M Talley Sr., LMHC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1417311424
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39002852A Issued in IN
Practice address
8760 Powderhorn Way
Indianapolis, IN 46256-1178
Phone
(317) 590-4572
Fax
(866) 598-3720
NPI assigned
Apr 6, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87001582A IN
Mental Health Counselor 101YM0800X 39002852A IN Primary

Addresses

Primary practice location

8760 Powderhorn Way
Indianapolis, IN 46256-1178

Mailing address

8760 Powderhorn Way
Indianapolis, IN 46256-1178
Phone (317) 590-4572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
87001582AINMDAddiction (Substance Use Disorder) Counselor
39002852AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony M Talley Sr Addiction (Substance Use Disorder) CurrentSince Nov 13, 2022 Accepting new patients
Caring Associates Counseling Group, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1417311424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8760 POWDERHORN WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561178",
            "telephone_number": "317-590-4572",
            "fax_number": "866-598-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8760 POWDERHORN WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561178",
            "telephone_number": "317-590-4572",
            "fax_number": "866-598-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "name_suffix": "Sr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001582A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002852A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.