Liberation Ministries Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIBERATION MINISTRIES INC

Practice address

3901 N College Ave Ste 135
Indianapolis, IN 46205-2734

Phone

(317) 789-6108

NPI assigned

Feb 17, 2023

Organization subpart

Yes

Parent organization

LIBERATION MINISTRIES INCAs reported in NPPES

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

Authorized official

Name

Jacqueline Carroll, LMHC

Title

Ceo

Phone

(317) 789-6108

Specialties & licenses 6

Addresses

Other names 1

• Rise & Excel Parenting Solutions Doing business as

Tax ID family

Liberation Ministries Inc3 organizations share this tax ID, including this one

Part of

Liberation Ministries Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Liberation Ministries Inc

  • Professional Counselor
  • Indianapolis, IN
  • NPI 1295433597
  NPD tax ID
• Liberation Ministries Inc

  • Addiction (Substance Use Disorder) Counselor
  • Indianapolis, IN
  • NPI 1972618452
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Liberation Ministries Inc

  • Addiction (Substance Use Disorder) Counselor
  • Indianapolis, IN
  • NPI 1972618452
  NPPES parent name

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1558069682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 N COLLEGE AVE STE 135",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052734",
            "telephone_number": "317-789-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 N COLLEGE AVE STE 135",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052734",
            "telephone_number": "317-789-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERATION MINISTRIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIBERATION MINISTRIES INC",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-789-6108",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rise & Excel Parenting Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suthat Liangpunsakul, M.D.
• Kevin Liao, PHARMD
• Mark Liao, MD
• Amanda M Libak, PT
• Liberation Ministries Inc
• Liberation Ministries Inc
• Brianna M Liberio, M.D.
• Libertad Counseling
• Liberty Care LLC Dba Sovereign Care Services
• Mathew J Libke, MD

• Mental Health Counselor in Indianapolis, IN
• Providers in Indianapolis, 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 Feb 17, 2023; 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.