Individual provider Active NPI

Teena Turner, LCAC

  • Addiction (Substance Use Disorder) Counselor
  • Indianapolis, IN
National Provider Identifier
1659190353
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
870017224 Issued in IN
Practice address
4954 E 56TH St Ste 4
Indianapolis, IN 46220-5769
Phone
(317) 941-7387
NPI assigned
Oct 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 87001722A IN
Addiction (Substance Use Disorder) Counselor 101YA0400X 870017224 IN Primary

Addresses

Primary practice location

4954 E 56TH St Ste 4
Indianapolis, IN 46220-5769

Mailing address

4954 E 56TH St Ste 4
Indianapolis, IN 46220-5769
Phone (317) 941-7387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250107001464 IN Practitioner - Mental Health Counselor 6800324674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians

Practice addresses (Care Compare)

8398 Mississippi St
FL 2
Merrillville, IN 46410-6316
Phone (855) 743-2247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87001722AINMDCounselor
870017224INMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stones Therapy Center LLC CurrentSince Oct 13, 2024 Accepting new patients
Extended Care Specialists, Inc Counselor CurrentSince Dec 1, 2024 Accepting new patients

Locations

3512 Stellhorn Rd
Fort Wayne, IN 46815

4954 E 56th St
Ste 4
Indianapolis, IN 46220
Phone (317) 500-4266

8398 Mississippi St
Fl 2
Merrillville, IN 46410

Organizations & group practices 2

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": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1659190353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4954 E 56TH ST STE 4",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462205769",
            "telephone_number": "317-941-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4954 E 56TH ST STE 4",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462205769",
            "telephone_number": "317-941-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "TEENA",
        "credential": "LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "87001722A",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "870017224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.