Paul Vernon Runyan Jr., LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

99090203A Issued in IN

Practice address

5486 W US Highway 40
Greenfield, IN 46140

Phone

(317) 434-5375

NPI assigned

Aug 1, 2019

Reactivated

Oct 27, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  IN

  Medicare reassignment Care Compare group
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  IN

  Medicare reassignment NPD
• Insight Therapy Services

  • Mental Health Counselor
  • Greenwood, IN
  • NPI 1649137670
  NPD Authorized official
• Insight Therapy Services

  • Mental Health Counselor
  • Greenwood, IN
  • NPI 1972462075
  NPD Authorized official
• Hickory House Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Greenfield, IN
  • NPI 1699213306
  NPD (past)

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1598319048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 REFLECTIONS DR UNIT 8",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46214",
            "telephone_number": "317-522-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5486 W US HIGHWAY 40",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "46140",
            "telephone_number": "317-434-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNYAN",
        "first_name": "PAUL",
        "middle_name": "VERNON",
        "name_suffix": "Jr.",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-01",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "deactivation_date": "2023-10-02",
        "reactivation_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "99090203A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "p.runyan@hickoryhouse.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5486 W US Highway 40",
            "city": "Greenfield",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexandr Rogolev
• Hailee Rose, RBT
• Sean D Rose, LMHC-A
• Candace Kay Roudebush, DEVELOPMENTAL THERAP
• Rugged Grace, LLC
• Mackenzie Rush
• Payton Rutledge, RBT
• Kelly E Ryan, NP
• Payton Ryan
• Alexa V Salas Cheever

• Mental Health Counselor in Greenfield, IN
• Providers in Greenfield, 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 27, 2026; 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.