Active NPI
Allisha Hartz, LMHC-A
- Mental Health Counselor
- Vincennes, IN
National Provider Identifier
1457117673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 88002325A
- Practice address
- 515 Bayou St
Vincennes, IN 47591-1034 - Phone
- (812) 886-6800
- Fax
- (812) 886-6809
- NPI assigned
- Feb 26, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 88002325A | IN | Primary |
Addresses
Primary practice location
515 Bayou St
Vincennes, IN 47591-1034
Mailing address
PO Box 556
Vincennes, IN 47591-0556
Phone (812) 494-9501
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
| License | State | Type | Specialty |
|---|---|---|---|
| 88002325A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1457117673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 556",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475910556",
"telephone_number": "812-494-9501",
"fax_number": "812-494-9502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 BAYOU ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911034",
"telephone_number": "812-886-6800",
"fax_number": "812-886-6809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTZ",
"first_name": "ALLISHA",
"credential": "LMHC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-26",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "88002325A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.