Active NPI
Optum Behavioral Care of Colorado, P.C.
Doing business as Keys Counseling of Indiana
- Counseling Psychologist
- Elkhart, IN
National Provider Identifier
1609638840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Clinical Social Worker
- Muncie, IN
- NPI 1144113515
O20240408000776
-
dba Lykins Counseling of Indiana
- Clinical Psychologist
- Muncie, IN
- NPI 1336907963
O20240408000776
-
dba LifeSolutions Counseling Associates of Indiana
- Clinical Psychologist
- Carmel, IN
- NPI 1497525828
O20240408000776
National Provider Directory
National Provider DirectoryNPI 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
- Samsteve B Ombat
- Vivian U Onunkwo, MD
- Eli Opacich, PHARMD
- Open and Wide MRI LLC
- Open and Wide MRI, LLC
- Oral Surgery Center of Elkhart, Inc
- Myrna P. Orbana, M.D.
- Melitza Ortega
- Orthopedic and Sports Medicine Center of Northern Indiana, Inc (Osmc)
- Orthopedic and Sports Medicine Center of Northern Indiana, Inc (Osmc)
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.