Organization Active NPI

Deidra Storey

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1578923405
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39001108A Issued in IN
Legal business name
DEIDRA STOREY
Practice address
941 E 86TH St Ste 120
Indianapolis, IN 46240-1842
Phone
(812) 631-0056
NPI assigned
Mar 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Mrs. Deidra Lynn Storey, LMHCNPI 1558706408
Title
Mental Health Counselor
Phone
(812) 631-0056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 39001108A IN Primary

Addresses

Primary practice location

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

Mailing address

18773 Wychwood PL
Noblesville, IN 46062-7544
Phone (812) 631-0056

Other practice location 1

5455 W 86th St
Suite 113
Indianapolis, IN 46268-1536
Phone (812) 631-0056

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1578923405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18773 WYCHWOOD PL",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627544",
            "telephone_number": "812-631-0056"
        },
        {
            "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": "5455 W 86th St",
            "address_2": "Suite 113",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462681536",
            "country_code": "US",
            "telephone_number": "812-631-0056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEIDRA STOREY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "STOREY",
        "authorized_official_first_name": "DEIDRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "812-631-0056",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001108A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 26, 2024; 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.