Healing Place Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39001395A Issued in IN

Legal business name

HEALING PLACE THERAPY

Practice address

1811 Bundy Ave
New Castle, IN 47362-2973

Phone

(765) 744-9597

NPI assigned

Jun 9, 2016

Organization subpart

No

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

Authorized official

Name

Prof. Tamara Lee Imel, MA, LMHCNPI 1669450755

Title

Owner

Phone

(765) 744-9597

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Tamara Lee Imel, LMHC

  • Mental Health Counselor
  • New Castle, IN
  • NPI 1669450755
  NPD (past) Authorized official

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1508215591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 HAWTHORN RD",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473625236",
            "telephone_number": "765-744-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 BUNDY AVE",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473622973",
            "telephone_number": "765-744-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING PLACE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "IMEL",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-744-9597",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001395A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000194594",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Harrison
• HCMH Diversified Management Corp
• HCMH Diversified Management Corp
• HCMH Diversified Management Corp
• HCMH Diversified Management Corp Inc
• Healthcare Centers of Indiana, LLC
• David B Henley, M.D.
• Henry County Auditor
• Henry County Auditor
• Henry County Memorial Hospital

• Mental Health Counselor in New Castle, IN
• Providers in New Castle, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.