Active NPI
Angela Janutolo, MA, LMHC
- Mental Health Counselor
- Fishers, IN
National Provider Identifier
1477703320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39002251A
- Practice address
- 10412 Allisonville Road
Ste 105
Fishers, IN 46038-2033 - Phone
- (317) 578-9200
- Fax
- (317) 578-9201
- NPI assigned
- Sep 29, 2008
- Last updated
- Mar 20, 2014
- 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 | 39002251A | IN | Primary |
Addresses
Primary practice location
10412 Allisonville Road
Ste 105
Fishers, IN 46038-2033
Mailing address
10412 Allisonville Road
Ste 105
Fishers, IN 46038-2033
Phone (317) 578-9200
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39002251A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Center at the Crossing, Inc. | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Fishers, IN
- NPI 1578684031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395273600000",
"number": "1477703320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10412 ALLISONVILLE ROAD",
"address_2": "STE 105",
"city": "FISHERS",
"state": "IN",
"postal_code": "460382033",
"telephone_number": "317-578-9200",
"fax_number": "317-578-9201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10412 ALLISONVILLE ROAD",
"address_2": "STE 105",
"city": "FISHERS",
"state": "IN",
"postal_code": "460382033",
"telephone_number": "317-578-9200",
"fax_number": "317-578-9201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANUTOLO",
"first_name": "ANGELA",
"credential": "MA, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-29",
"last_updated": "2014-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39002251A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.