Indigo Counseling LLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

INDIGO COUNSELING LLC

Practice address

3005 Lithia Pinecrest Rd
Valrico, FL 33596-5630

Phone

(813) 603-8181

NPI assigned

Mar 7, 2019

Last updated

Mar 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katherine Blaire Pollak Fell, PSY.D.NPI 1841537743

Title

Owner/Clinical Psychologist

Phone

(813) 603-8181

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Blaire Pollak Fell, PSY.D

  • Clinical Psychologist
  • Valrico, FL
  • NPI 1841537743
  Authorized official Same address or phone

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1578021655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 LITHIA PINECREST RD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335965630",
            "telephone_number": "813-603-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 LITHIA PINECREST RD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335965630",
            "telephone_number": "813-603-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "POLLAK FELL",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "BLAIRE",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "813-603-8181",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Hurst
• Alexis Hutson, LCSW
• Erin Huttula, PT, DPT
• Michelle Dawn Huynh, PHARM D
• Caroline M Inaba, DDS
• Infinite Outcomes Behavior Services Corp
• Coretta Irby, PH.D.
• Denise Irish
• Saba F Irshad, M.D
• Caroline Jackson, DO

• Clinical Child & Adolescent Psychologist in Valrico, FL
• Providers in Valrico, FL by specialty
• Clinical Child & Adolescent Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.