Healing Streams Psychotherapy and Counseling,LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39003318A

Legal business name

HEALING STREAMS PSYCHOTHERAPY AND COUNSELING,LLC

Practice address

429 E Vermont St Ste 208
Indianapolis, IN 46202-3698

Phone

(317) 528-0026

NPI assigned

Jul 23, 2018

Last updated

Jul 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea L Ford, LMHCNPI 1073091377

Title

Licensed Mental Health Counselor

Phone

(317) 528-0026

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Andrea L Ford, LMHC

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1073091377
  NPD (past) Authorized official

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1467939462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 CROSSFIELD DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462398819",
            "telephone_number": "317-985-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 E VERMONT ST STE 208",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023698",
            "telephone_number": "317-528-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING STREAMS PSYCHOTHERAPY AND COUNSELING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "317-528-0026",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "39003318A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Life Home Care LLC
• Healing Self Therapy LLC
• Healing Self Therapy LLC
• Healing Solutions Counseling Services, Inc.
• Healing Solutions Transitional Living Services
• Healing With Conviction LLC
• Health & Hospital Corp of Marion County
• Health & Hospital Corporation (Marion County Health Department)
• Health & Hospital Corporation (Marion County Health Department)
• Health & Hospital Corporation (Marion County Health Department)

• Mental Health Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.