Midwest Counseling Associates

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

34002423A Issued in IN

Legal business name

MIDWEST COUNSELING ASSOCIATES

Practice address

5321 Cheviot PL
Indianapolis, IN 46226-3239

Phone

(317) 545-8490

Fax

(317) 545-6470

NPI assigned

May 10, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Harry Brutus Anderson Jr., LCSW

Title

Sole Proprietor

Phone

(317) 545-8490

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1528327673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 CHEVIOT PLACE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462263239",
            "telephone_number": "317-545-8490",
            "fax_number": "317-545-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 CHEVIOT PL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462263239",
            "telephone_number": "317-545-8490",
            "fax_number": "317-545-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "BRUTUS",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "317-545-8490",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "34002423A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.