Individual provider Active NPI

Jennifer Pinson, MT-BC

  • Music Therapist
  • Indianapolis, IN
National Provider Identifier
1497144042
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
Practice address
6710 Waverhill Dr
Indianapolis, IN 46217-9101
Phone
(317) 442-8655
NPI assigned
Jan 21, 2015
Last updated
Jun 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 201270180A IN
Music Therapist 225A00000X NU Primary

Addresses

Primary practice location

6710 Waverhill Dr
Indianapolis, IN 46217-9101

Mailing address

7502 Madison Ave
Indianapolis, IN 46227-5510
Phone (317) 829-6654

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
201270180AINMDIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Music Services Inc Music Therapist CurrentSince Jun 26, 2022 Accepting new patients

Locations

7502 Madison Ave
Indianapolis, IN 46227
Phone (317) 829-6654

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.

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1497144042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7502 MADISON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462275510",
            "telephone_number": "317-829-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 WAVERHILL DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462179101",
            "telephone_number": "317-442-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINSON",
        "first_name": "JENNIFER",
        "credential": "MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IN",
            "license": "201270180A",
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "NU",
            "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 Jun 22, 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.