Individual provider Active NPI

Jessica Stone

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1679997043
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003811A Issued in IN
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

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231130001688 IN Practitioner - Mental Health Counselor 5496103517 Reassigns benefits to 1 organization

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
Community Health Network IncGroup PAC ID 1850203977, 95 clinicians

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

LicenseStateTypeSpecialty
39003811AINMDMental Health Counselor
CP5121-RNVMDMental Health Counselor
10399556-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Network, Inc Current Accepting new patients
Community Health Network, Inc CurrentSince Jan 1, 2024 Accepting new patients
Community Health Network, Inc. Past Accepting new patients
Monadnock Family Services Past Accepting new patients
Center for Couples & Families PastSince Jul 30, 2019 Accepting new patients
Center for Couples & Families Mental Health PastSince Sep 25, 2019 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.

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

Verify at the official NPI Registry.