Nikki Ledgerwood, B.S., C.A.D.A.C. II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

2626 E 46TH St
Suite J
Indianapolis, IN 46205-2380

Phone

(317) 475-9066

Fax

(317) 257-3602

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

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.

• Indianapolis Treatment Center, LLC

  • Methadone Clinic
  • Indianapolis, IN
  • NPI 1275686123

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619198934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 GREENWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462205745",
            "telephone_number": "317-251-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 E 46TH ST",
            "address_2": "SUITE J",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052380",
            "telephone_number": "317-475-9066",
            "fax_number": "317-257-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDGERWOOD",
        "first_name": "NIKKI",
        "name_prefix": "Miss",
        "credential": "B.S., C.A.D.A.C. II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Todd Ledet, PTA
• Russell Joseph Ledet
• Staci Ledet, COTA
• Lindsey Ledford
• Regina Ann Ledford, DNP, FNP-BC
• Shelbi Ledgerwood
• Catherine Sophia Ledoux
• Iliana Ledoux
• Michael Alan Ledtke, MD
• Robin Ledyard, M.D.

• Addiction (Substance Use Disorder) Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Addiction (Substance Use Disorder) Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.