Individual provider Active NPI

Jessicah Dawn Walker Herche, PHD, HSPP

  • Health Service Psychologist
  • Carmel, IN
National Provider Identifier
1629556535
Registry record updated Feb 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
20043217B Issued in IN
Practice address
600 E Carmel Dr Ste 263
Carmel, IN 46032-3066
Phone
(317) 747-0574
NPI assigned
Aug 2, 2018
Last updated
Feb 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 279-PY-PR-TEMP MA
Health Service Psychologist 103TH0100X 20043217B IN Primary

Addresses

Primary practice location

600 E Carmel Dr Ste 263
Carmel, IN 46032-3066

Mailing address

12550 Corday CT
Fishers, IN 46038-1213
Phone (317) 747-0547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 1, 2026 through Feb 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20043217BINMDHealth Service Psychologist
279-PY-PR-TEMPMAMDHealth Service Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cadence Psychology Studio Health Service CurrentSince Oct 25, 2020 Accepting new patients
Maria P. Hanzlik, LLC Past Accepting new patients

Locations

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

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": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645833600000",
    "number": "1629556535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 CORDAY CT",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381213",
            "telephone_number": "317-747-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E CARMEL DR STE 263",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323066",
            "telephone_number": "317-747-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER HERCHE",
        "first_name": "JESSICAH",
        "middle_name": "DAWN",
        "credential": "PHD, HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MA",
            "license": "279-PY-PR-TEMP",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IN",
            "license": "20043217B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.