Organization Active NPI

Strategic Coaching and Therapies LLC

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1497132179
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
350001957A Issued in IN
Legal business name
STRATEGIC COACHING AND THERAPIES LLC
Practice address
3815 River Crossing Parkway
Indianapolis, IN 46240-9998
Phone
(317) 847-2244
Fax
(317) 816-7001
NPI assigned
May 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Authorized official

Name
Ms. Carol Ann Juergensen Sheets, LCSW
Title
Owner
Phone
(317) 218-3479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 350001957A IN Primary

Addresses

Primary practice location

3815 River Crossing Parkway
Indianapolis, IN 46240-9998

Mailing address

8872 Crystal River Dr
Indianapolis, IN 46240-6434
Phone (317) 218-3479

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1497132179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8872 CRYSTAL RIVER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462406434",
            "telephone_number": "317-218-3479",
            "fax_number": "317-816-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 RIVER CROSSING PARKWAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462409998",
            "telephone_number": "317-847-2244",
            "fax_number": "317-816-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATEGIC COACHING AND THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "JUERGENSEN SHEETS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-218-3479",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "350001957A",
            "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 1, 2015; 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.