Organization Active NPI

Optum Behavioral Care of Colorado, P.C.

Doing business as Keys Counseling of Indiana

  • Counseling Psychologist
  • Elkhart, IN
National Provider Identifier
1609638840
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
OPTUM BEHAVIORAL CARE OF COLORADO, P.C.
Doing business as
Keys Counseling of Indiana
Practice address
120 S Main St
Elkhart, IN 46516-3122
Phone
(574) 236-3905
NPI assigned
Jan 24, 2024
Last updated
Mar 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Leslie Fuchs
Title
Ceo
Phone
(810) 358-1643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X NU Primary

Addresses

Primary practice location

120 S Main St
Elkhart, IN 46516-3122

Mailing address

11000 Optum Cir
Eden Prairie, MN 55344-2503
Phone (574) 236-3905

Other practice location 1

424 Perry St
LA Porte, IN 46350-3200
Phone (574) 406-1520

Other practice location 2

300 S Saint Louis Blvd Ste 150
South Bend, IN 46617-3028
Phone (574) 406-1520

Other names 1

  • Keys Counseling of Indiana Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240408000776 IN Part B Supplier - Clinic/Group Practice 0941648463 Receives reassigned benefits from 26 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carmel, IN; South Bend, IN; Noblesville, IN; Muncie, IN

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1609638840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 OPTUM CIR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442503",
            "telephone_number": "574-236-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S MAIN ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465163122",
            "telephone_number": "574-236-3905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 Perry St",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463503200",
            "country_code": "US",
            "telephone_number": "574-406-1520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 S Saint Louis Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466173028",
            "country_code": "US",
            "telephone_number": "574-406-1520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTUM BEHAVIORAL CARE OF COLORADO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "FUCHS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-358-1643"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keys Counseling of Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.