Active NPI
Mimi M Brittingham, LMFT, LMHC, CNS
- Clinical Nurse Specialist
- Indianapolis, IN
National Provider Identifier
1447262746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 70000166A
- Practice address
- 210 E 91St St
Suite C
Indianapolis, IN 46240-1569 - Phone
- (317) 844-0055
- Fax
- (317) 571-5040
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39000787A | IN | |
| Professional Counselor | 101YP2500X | 39000787A | IN | |
| Marriage & Family Therapist | 106H00000X | 35000985A | IN | |
| Clinical Nurse Specialist | 364S00000X | 70000166A | IN | Primary |
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | 70000166A | IN |
Addresses
Primary practice location
210 E 91St St
Suite C
Indianapolis, IN 46240-1569
Mailing address
210 E 91St St
Suite C
Indianapolis, IN 46240-1569
Phone (317) 844-0055
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
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39000787A | IN | MD | Mental Health Counselor |
| 35000985A | IN | MD | Marriage & Family Therapist |
| 70000166A | IN | MD | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1447262746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E 91ST ST",
"address_2": "SUITE C",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462401569",
"telephone_number": "317-844-0055",
"fax_number": "317-571-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E 91ST ST",
"address_2": "SUITE C",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462401569",
"telephone_number": "317-844-0055",
"fax_number": "317-571-5040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRITTINGHAM",
"first_name": "MIMI",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LMFT, LMHC, CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39000787A",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IN",
"license": "39000787A",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35000985A",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "IN",
"license": "70000166A",
"primary": true
},
{
"code": "364SP0807X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
"state": "IN",
"license": "70000166A",
"primary": false
}
],
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.