Organization Active NPI

ER Counseling LLC

  • Clinical Social Worker
  • Shelbyville, IN
National Provider Identifier
1487071445
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005767A Issued in IN
Legal business name
ER COUNSELING LLC
Practice address
54 W Broadway St Ste 6
Shelbyville, IN 46176-1267
Phone
(812) 345-0499
Fax
(866) 793-0495
NPI assigned
Mar 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Victoria Ann Harris, LCSW, LCAVNPI 1083782114
Title
President
Phone
(812) 345-0499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 34005767A IN Primary
Community/Behavioral Health Agency 251S00000X 87000018A IN

Addresses

Primary practice location

54 W Broadway St Ste 6
Shelbyville, IN 46176-1267

Mailing address

54 W Broadway St Ste 6
Shelbyville, IN 46176-1267
Phone (812) 345-0499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140329000102 IN Part B Supplier - Clinic/Group Practice 0547491896 Receives reassigned benefits from 1 practitioner
Practice locations: Shelbyville, IN

National Provider Directory

National Provider Directory

Locations

54 W Broadway St
Ste 6
Shelbyville, IN 46176
Phone (317) 680-0500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1487071445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 W BROADWAY ST STE 6",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461761267",
            "telephone_number": "812-345-0499",
            "fax_number": "866-793-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W BROADWAY ST STE 6",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461761267",
            "telephone_number": "812-345-0499",
            "fax_number": "866-793-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-345-0499",
        "authorized_official_credential": "LCSW, LCAV"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005767A",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "87000018A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.