Individual provider Active NPI

Jeanette Etnier, LMHC, LCAC

  • Mental Health Counselor
  • Greenwood, IN
National Provider Identifier
1649532490
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39001876A Issued in IN
Practice address
649 Jackson Rd
Greenwood, IN 46142-7443
Phone
(317) 427-6355
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87000652A IN
Mental Health Counselor 101YM0800X 87000652A IN
Mental Health Counselor 101YM0800X 39001876A IN Primary

Addresses

Primary practice location

649 Jackson Rd
Greenwood, IN 46142-7443

Mailing address

649 Jackson Rd
Greenwood, IN 46142-7443
Phone (317) 881-3363

Other practice location 1

5230 E Stop 11 Rd Ste 350
Indianapolis, IN 46237-6402
Phone (317) 783-8383

Other practice location 2

649 Jackson Rd
Greenwood, IN 46142-7443
Phone (317) 427-6355

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jetnier531002@Direct.FranciscanAlliance.org Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
87000652AINMDAddiction (Substance Use Disorder) Counselor
39001876AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Exhalted LLC Mental Health Current Accepting new patients
Franciscan Physician Network PastSince Sep 1, 2020 Accepting new patients
Franciscan Physician Network PastSince Sep 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jeanette.etnier.p1@direct.meridianhs.nextgenshare.com
  • Direct secure messaging: jetnier531002@direct.franciscanalliance.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1649532490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 JACKSON RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461427443",
            "telephone_number": "317-881-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 JACKSON RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461427443",
            "telephone_number": "317-427-6355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5230 E Stop 11 Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462376402",
            "country_code": "US",
            "telephone_number": "317-783-8383",
            "fax_number": "317-782-6929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "649 Jackson Rd",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461427443",
            "country_code": "US",
            "telephone_number": "317-427-6355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETNIER",
        "first_name": "JEANETTE",
        "credential": "LMHC, LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87000652A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "87000652A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001876A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jetnier531002@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5230 E Stop 11 Rd Ste 350",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462376402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.