Organization Active NPI

Good Fruit Counseling LLC

  • Psychologist
  • West Lafayette, IN
National Provider Identifier
1639912041
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
GOOD FRUIT COUNSELING LLC
Practice address
1048 B Sagamore Parkway West
51
West Lafayette, IN 47906
Phone
(765) 202-3558
NPI assigned
Jun 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Ryan Yarbrough
Title
Co-Ceo
Phone
(765) 202-3558

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1048 B Sagamore Parkway West
51
West Lafayette, IN 47906

Mailing address

1048 B Sagamore Parkway West
51
West Lafayette, IN 47906

National Provider Directory

National Provider Directory

Locations

1048 Sagamore Pkwy W
#B
West Lafayette, IN 47906
Phone (708) 459-6077

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": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1639912041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 B SAGAMORE PARKWAY WEST",
            "address_2": "51",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "47906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 B SAGAMORE PARKWAY WEST",
            "address_2": "51",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "47906",
            "telephone_number": "765-202-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD FRUIT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "YARBROUGH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "765-202-3558"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.