Individual provider Active NPI

Anne Marie Perconti, LCAC

  • Addiction (Substance Use Disorder) Counselor
  • Indianapolis, IN
National Provider Identifier
1487387973
Registry record updated Jul 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
87001673A Issued in IN
Practice address
8770 Guion Rd Ste B
Indianapolis, IN 46268-3017
Phone
(502) 303-8329
NPI assigned
Jul 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87001673A IN Primary

Addresses

Primary practice location

8770 Guion Rd Ste B
Indianapolis, IN 46268-3017

Mailing address

8770 Guion Rd Ste B
Indianapolis, IN 46268-3017
Phone (502) 303-8329

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

LicenseStateTypeSpecialty
87001673AINMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Indy LLC CurrentSince Jul 10, 2022 Accepting new patients

Locations

8770 Guion Rd
Ste B
Indianapolis, IN 46268
Phone (317) 648-2887

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656806400000",
    "number": "1487387973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8770 GUION RD STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683017",
            "telephone_number": "502-303-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8770 GUION RD STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683017",
            "telephone_number": "502-303-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCONTI",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "credential": "LCAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-03",
        "last_updated": "2022-07-03",
        "certification_date": "2022-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001673A",
            "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 Jul 3, 2022; 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.