Effective Therapy Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EFFECTIVE THERAPY SERVICES LLC

Practice address

752 N Cherry St
Ladoga, IN 47954-9350

Phone

(317) 363-8723

NPI assigned

Aug 25, 2020

Last updated

Aug 25, 2020By 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

Ronald GardnerNPI 1366897076

Title

Manager

Phone

(317) 363-8723

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Gardner, MA, LMHC

  • Mental Health Counselor
  • Ladoga, IN
  • NPI 1366897076
  Medicare reassignment NPD Authorized official
• Jessica L Kueterman

  • Case Manager/Care Coordinator
  • Ladoga, IN
  • NPI 1689481244
  NPD

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1659984060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 W ELM ST",
            "city": "LADOGA",
            "state": "IN",
            "postal_code": "479547037",
            "telephone_number": "317-363-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 N CHERRY ST",
            "city": "LADOGA",
            "state": "IN",
            "postal_code": "479549350",
            "telephone_number": "317-363-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFECTIVE THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-363-8723"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Ladoga",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "other",
            "address_1": "752 N Cherry St",
            "city": "Ladoga",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479549350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Holly Bushong, FNP-C
• Caring Health Solutions, LLC
• Ronald Gardner, MA, LMHC
• January Nicole Gilley, CLC
• Courtney Greer, FNP-C
• Jessica L Kueterman
• Ladoga Recovery Center, LLC

• Mental Health Counselor in Ladoga, IN
• Providers in Ladoga, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.