NPIMap

Organization Active NPI

Little Star Center, Inc.

  • Early Intervention Provider Agency
  • Clarksville, IN
National Provider Identifier
1639749435
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
LITTLE STAR CENTER, INC.
Practice address
632 Eastern Blvd
Clarksville, IN 47129-2454
Phone
(317) 249-2242
Fax
(844) 289-6798
NPI assigned
Jun 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Chris Kirk
Title
VP of Insurance
Phone
(317) 249-2242

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Community/Behavioral Health Agency 251S00000X
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

632 Eastern Blvd
Clarksville, IN 47129-2454

Mailing address

550 Congressional Blvd Ste 115
Carmel, IN 46032-5644
Phone (317) 249-2242

Other practice location 1

3777 Haley Dr
Newburgh, IN 47630-2608
Phone (317) 249-2242

Other identifiers 1

IdentifierTypeStateIssuer
7100721710MedicaidKY

Other names 1

  • Little Star ABA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Little Star Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

550 Congressional Blvd
Ste 220
Carmel, IN 46032

3777 Haley Dr
Newburgh, IN 47630
Phone (812) 490-0904

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1639749435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 CONGRESSIONAL BLVD STE 115",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325644",
            "telephone_number": "317-249-2242",
            "fax_number": "844-289-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 EASTERN BLVD",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292454",
            "telephone_number": "317-249-2242",
            "fax_number": "844-289-6798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3777 Haley Dr",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476302608",
            "country_code": "US",
            "telephone_number": "317-249-2242",
            "fax_number": "844-289-6798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LITTLE STAR CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "VP OF INSURANCE",
        "authorized_official_telephone_number": "317-249-2242"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100721710",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Star ABA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Little Star ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.