NPIMap

Organization Active NPI

Shaping & Empowering Families LLC

  • Community/Behavioral Health Agency
  • Indianapolis, IN
National Provider Identifier
1417355744
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SHAPING & EMPOWERING FAMILIES LLC
Practice address
10609 E Washington St Ste E
Indianapolis, IN 46229-2661
Phone
(317) 319-1832
NPI assigned
Dec 19, 2014
Last updated
Dec 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Mrs. Christie Lacole Coleman-WilsonNPI 1316345689
Title
Director
Phone
(317) 319-1832

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Mental Health Counselor 101YM0800X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

10609 E Washington St Ste E
Indianapolis, IN 46229-2661

Mailing address

10609 E Washington St Ste E
Indianapolis, IN 46229-2661
Phone (317) 319-1832

National Provider Directory

National Provider Directory

Locations

10026 E 21st St
Ste 15
Indianapolis, IN 46229
Phone (317) 493-9309

10609 E Washington St
Ste E
Indianapolis, IN 46229
Phone (317) 319-1832

Practitioners & affiliated clinicians

Practitioners 6

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": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1417355744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10609 E WASHINGTON ST STE E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292661",
            "telephone_number": "317-319-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10609 E WASHINGTON ST STE E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292661",
            "telephone_number": "317-319-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPING & EMPOWERING FAMILIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "COLEMAN-WILSON",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_middle_name": "LACOLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-319-1832",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "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 Dec 17, 2019; 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.