Organization Active NPI

Healing With Conviction LLC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1649901554
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HEALING WITH CONVICTION LLC
Practice address
55 S State Ave Ste 3113
Indianapolis, IN 46201-3802
Phone
(847) 560-5685
NPI assigned
Jun 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Authorized official

Name
Cari Montgomery
Title
Owner
Phone
(847) 650-5685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

55 S State Ave Ste 3113
Indianapolis, IN 46201-3802

Mailing address

55 S State Ave Ste 3113
Indianapolis, IN 46201-3802
Phone (847) 560-5685

National Provider Directory

National Provider Directory

Locations

55 S State Ave
Ste 3113
Indianapolis, IN 46201
Phone (317) 513-4408

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1649901554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S STATE AVE STE 3113",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462013802",
            "telephone_number": "847-560-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S STATE AVE STE 3113",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462013802",
            "telephone_number": "847-560-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING WITH CONVICTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "CARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-650-5685"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.