Organization Active NPI

Trinity Consulting & Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1568050292
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
TRINITY CONSULTING & COUNSELING, LLC
Practice address
5170 E 65TH St Ste 107
Indianapolis, IN 46220-4992
Phone
(317) 845-8475
Fax
(317) 845-8476
NPI assigned
Jan 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Katina Johnson-Fry Smith, MS, MBA
Title
President/Director
Phone
(317) 845-8475

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

5170 E 65TH St Ste 107
Indianapolis, IN 46220-4992

Mailing address

5170 E 65TH St Ste 107
Indianapolis, IN 46220-4992
Phone (317) 845-8475

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Info@mytcci.com Direct
Direct Messaging Address Info@mytcci.com Direct

National Provider Directory

National Provider Directory

Locations

5170 E 65th St
Ste 107
Indianapolis, IN 46220
Phone (317) 845-8475

Interoperability endpoints

  • Direct secure messaging: info@mytcci.com

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1568050292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 E 65TH ST STE 107",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204992",
            "telephone_number": "317-845-8475",
            "fax_number": "317-845-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 E 65TH ST STE 107",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204992",
            "telephone_number": "317-845-8475",
            "fax_number": "317-845-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CONSULTING & COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-FRY SMITH",
        "authorized_official_first_name": "KATINA",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "317-845-8475",
        "authorized_official_credential": "MS, MBA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@mytcci.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5170 E 65th St Ste 107",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462204992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@mytcci.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "5170 E 65th St Ste 107",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462204992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 7, 2021; 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.