Deidra Storey, LSW, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

452541282 Issued in IN

Practice address

941 E 86TH St Ste 120
Indianapolis, IN 46240-1842

Phone

(812) 631-0056

NPI assigned

May 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deidra Storey

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1578923405
  NPD Authorized official

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1558706408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W LINCOLN RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023850",
            "telephone_number": "765-450-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 E 86TH ST STE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401842",
            "telephone_number": "812-631-0056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W Lincoln Rd",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469023850",
            "country_code": "US",
            "telephone_number": "765-450-4843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOREY",
        "first_name": "DEIDRA",
        "credential": "LSW, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "452541282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Kyle Stoops, MD
• Tiffany R Stoots, OTR/L, CHT
• Stop by Stop Medical Transportation LLC
• Stop Eleven Dental Group
• Kendra Marie Storer, N.P.
• John H Storey, MD
• Allyson Storie
• Danielle Rose Storie, PT, DPT
• Adrienne Storm
• Derek Alan Storm, O. D.

• 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 Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.