Active NPI
Jessica Stone
- Mental Health Counselor
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39003811A
- Practice address
- 1525 N Ritter Ave
Indianapolis, IN 46219-3026 - Phone
- (317) 359-5467
- NPI assigned
- Feb 6, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CP5121-R | NV | |
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 10399556-6004 | UT | |
| Mental Health Counselor | 101YM0800X | 39003811A | IN | Primary |
Addresses
Primary practice location
1525 N Ritter Ave
Indianapolis, IN 46219-3026
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Other practice location 1
32 Emerald St
Keene, NH 03431-3601
Phone (603) 283-1570
Other practice location 2
1173 S 250 W Ste 208
Saint George, UT 84770-6747
Phone (435) 688-1111
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1525 N Ritter Ave
Gallahue Mental Health Services
Indianapolis, IN 46219-3026
Phone (317) 359-5467
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39003811A | IN | MD | Mental Health Counselor |
| CP5121-R | NV | MD | Mental Health Counselor |
| 10399556-6004 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Network, Inc | Current | Accepting new patients | |
| Community Health Network, Inc | Current | Accepting new patients | |
| Community Health Network, Inc. | Past | Accepting new patients | |
| Monadnock Family Services | Past | Accepting new patients | |
| Center for Couples & Families | Past | Accepting new patients | |
| Center for Couples & Families | Mental Health | Past | Accepting new patients |
Locations
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533
1525 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 322-4087
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
dba Community Fairbanks Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
- NPI 1265477632
-
dba Community Hospital North
- Psychiatric Hospital Unit
- Indianapolis, IN
- NPI 1679545966
-
dba Ascend Counseling and Wellness
- Marriage & Family Therapist
- Saint George, UT
- NPI 1306364302
-
dba A Southern Utah Counseling Experience
- Marriage & Family Therapist
- Saint George, UT
- NPI 1982898094
Mental Health
-
- Community/Behavioral Health Agency
- Keene, NH
- NPI 1649331224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1679997043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 N RITTER AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462193026",
"telephone_number": "317-359-5467"
}
],
"practiceLocations": [
{
"address_1": "32 Emerald St",
"address_purpose": "LOCATION",
"city": "Keene",
"state": "NH",
"postal_code": "034313601",
"country_code": "US",
"telephone_number": "603-283-1570",
"fax_number": "603-357-9648",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1173 S 250 W Ste 208",
"address_purpose": "LOCATION",
"city": "Saint George",
"state": "UT",
"postal_code": "847706747",
"country_code": "US",
"telephone_number": "435-688-1111",
"fax_number": "435-688-8488",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STONE",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-06",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "CP5121-R",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "10399556-6004",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39003811A",
"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 Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.