Individual provider Active NPI

Richard Jones, MDIV, LMHC

  • Counselor
  • Indianapolis, IN
National Provider Identifier
1447702857
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
39002124A Issued in IN
Practice address
819 East 64TH Street
#216
Indianapolis, IN 46220-6610
Phone
(317) 408-8880
NPI assigned
Nov 2, 2016
Last updated
Nov 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 39002124A IN Primary
Mental Health Counselor 101YM0800X 39002124A IN
Pastoral Counselor 101YP1600X 39002124A IN

Addresses

Primary practice location

819 East 64TH Street
#216
Indianapolis, IN 46220-6610

Mailing address

10014 Northwind Drive
Indianapolis, IN 46256-9339
Phone (317) 408-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260223003555 IN Practitioner - Mental Health Counselor 3173004686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Buckingham and Associates PCGroup PAC ID 9739241720, 5 clinicians

Practice addresses (Care Compare)

8202 Clearvista Pkwy
BLDG 7
Indianapolis, IN 46256-1400
Phone (317) 288-9942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39002124AINMDPastoral Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Buckingham and Associates PC Mental Health CurrentSince Feb 4, 2026 Accepting new patients
Indianapolis Counselor Incorporated Counselor Past Accepting new patients

Locations

8202 Clearvista Pkwy
Bldg 7
Indianapolis, IN 46256
Phone (317) 288-9942

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1447702857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10014 NORTHWIND DRIVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462569339",
            "telephone_number": "317-408-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 EAST 64TH STREET",
            "address_2": "#216",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462206610",
            "telephone_number": "317-408-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "RICHARD",
        "credential": "MDIV, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "39002124A",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002124A",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "IN",
            "license": "39002124A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.