Active NPI
Satomi Wakabayashi, LMHC
- Mental Health Counselor
- Anderson, IN
National Provider Identifier
1639657703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39001765A
- Practice address
- 3125 S Scatterfield Rd Ste 200
Anderson, IN 46013-1804 - Phone
- (765) 298-4600
- Fax
- (765) 298-4998
- NPI assigned
- Aug 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39001765A | IN | Primary |
Addresses
Primary practice location
3125 S Scatterfield Rd Ste 200
Anderson, IN 46013-1804
Mailing address
3405 W Twickingham Dr
Muncie, IN 47304-6204
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39001765A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574812800000",
"number": "1639657703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3405 W TWICKINGHAM DR",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473046204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 S SCATTERFIELD RD STE 200",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460131804",
"telephone_number": "765-298-4600",
"fax_number": "765-298-4998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAKABAYASHI",
"first_name": "SATOMI",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39001765A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.