Organization Active NPI

Counsellinng Centers of America, LLC

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1487345500
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COUNSELLINNG CENTERS OF AMERICA, LLC
Practice address
7638 Chestnut Hills Dr
Indianapolis, IN 46278-1789
Phone
(561) 706-5686
NPI assigned
May 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Davidi Kolker, LCSW, J.D.
Title
Ceo
Phone
(561) 706-5686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7638 Chestnut Hills Dr
Indianapolis, IN 46278-1789

Mailing address

7638 Chestnut Hills Dr
Indianapolis, IN 46278-1789
Phone (561) 706-5686

National Provider Directory

National Provider Directory

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": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1487345500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7638 CHESTNUT HILLS DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781789",
            "telephone_number": "561-706-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7638 CHESTNUT HILLS DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781789",
            "telephone_number": "561-706-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELLINNG CENTERS OF AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "KOLKER",
        "authorized_official_first_name": "DAVIDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-706-5686",
        "authorized_official_credential": "LCSW, J.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.