Mentors of America, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MENTORS OF AMERICA, LLC

Practice address

10475 Crosspoint Blvd
250
Indianapolis, IN 46256-3386

Phone

(866) 819-4662

Fax

(866) 819-4662

NPI assigned

Mar 4, 2015

Last updated

Mar 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian Ellis

Title

Director of Client Services

Phone

(866) 819-4662

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1649662354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10475 CROSSPOINT BLVD",
            "address_2": "250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563386",
            "telephone_number": "866-819-4662",
            "fax_number": "866-819-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 CROSSPOINT BLVD",
            "address_2": "250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563386",
            "telephone_number": "866-819-4662",
            "fax_number": "866-819-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTORS OF AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR OF CLIENT SERVICES",
        "authorized_official_telephone_number": "866-819-4662",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Menton, MSW, LCSW
• Mentor Abi, LLC (NeuroRestorative Indiana)
• Mentor Abi, LLC D/B/a Neurorestorative Indiana (NeuroRestorative Indiana)
• Mentor Healthcare LLC (Indiana MENTOR)
• Mentoring With Magic Home Services
• Somyata Meratia
• Stefany Meraz-Bandala, BA
• Nancy K Merbitz, PH.D.
• Richie Mercado
• Gail L Mercer, LMHC

• Community/Behavioral Health Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.