Individual provider Active NPI

Amy Marie Pickett, M.S., L.M.H.C.

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1619157211
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39000450A Issued in IN
Practice address
7830 Johnson Rd
Indianapolis, IN 46250-2075
Phone
(317) 396-0683
Fax
(317) 396-0687
NPI assigned
Nov 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39000450A IN Primary

Addresses

Primary practice location

7830 Johnson Rd
Indianapolis, IN 46250-2075

Mailing address

7830 Johnson Rd
Indianapolis, IN 46250-2075
Phone (317) 396-0683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
39000450AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Viaquest Holdings LTD Mental Health PastSince Mar 28, 2015 Accepting new patients
Viaquest Community Solutions, LLC Mental Health PastSince Aug 14, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1619157211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 JOHNSON RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502075",
            "telephone_number": "317-396-0683",
            "fax_number": "317-396-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 JOHNSON RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502075",
            "telephone_number": "317-396-0683",
            "fax_number": "317-396-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "M.S., L.M.H.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000450A",
            "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 Nov 19, 2013; 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.