Organization Active NPI

Connieflower Behavioral Health

  • Community/Behavioral Health Agency
  • Indianapolis, IN
National Provider Identifier
1629695739
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CONNIEFLOWER BEHAVIORAL HEALTH
Practice address
6738 Tramcus Dr
Indianapolis, IN 46260-4586
Phone
(317) 690-2174
NPI assigned
Jul 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Angela K Madison, LCSWNPI 1922319540
Title
Owner
Phone
(317) 690-2174

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6738 Tramcus Dr
Indianapolis, IN 46260-4586

Mailing address

1300 E 86TH St Unit 40583
Indianapolis, IN 46240-9421
Phone (317) 690-2174

National Provider Directory

National Provider Directory

Locations

1300 E 86th St
Unit 40583
Indianapolis, IN 46240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1629695739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E 86TH ST UNIT 40583",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462409421",
            "telephone_number": "317-690-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6738 TRAMCUS DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462604586",
            "telephone_number": "317-690-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNIEFLOWER BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-690-2174",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Jul 6, 2020; 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.