NPIMap

Organization Active NPI

Allen'S Therapeutic Services LLC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1689028458
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
34003862A Issued in IN
Legal business name
ALLEN'S THERAPEUTIC SERVICES LLC
Practice address
5455 W 86TH St Ste 110
Indianapolis, IN 46268-1504
Phone
(317) 820-3600
Fax
(317) 663-0914
NPI assigned
Apr 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Allen Marcellus Rader, LCSWNPI 1811058811
Title
Owner
Phone
(317) 446-5676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 34003862A IN Primary

Addresses

Primary practice location

5455 W 86TH St Ste 110
Indianapolis, IN 46268-1504

Mailing address

5455 W 86TH St Ste 110
Indianapolis, IN 46268-1504
Phone (317) 820-3600

Other practice location 1

450 E 96th St Ste 500
Indianapolis, IN 46240-3760
Phone (317) 820-3600

Other names 1

  • ATS Wellness & Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170116000511 IN Part B Supplier - Clinic/Group Practice 0143502765 Receives reassigned benefits from 2 practitioners
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory
Tax ID family
Allen'S Therapeutic Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5455 W 86th St
Ste 100
Indianapolis, IN 46268
Phone (317) 820-3600

5455 W 86th St
Ste 110
Indianapolis, IN 46268
Phone (317) 446-5676

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1689028458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 W 86TH ST STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681504",
            "telephone_number": "317-820-3600",
            "fax_number": "317-663-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 W 86TH ST STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681504",
            "telephone_number": "317-820-3600",
            "fax_number": "317-663-0914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 E 96th St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462403760",
            "country_code": "US",
            "telephone_number": "317-820-3600",
            "fax_number": "317-633-0914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLEN'S THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "RADER",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "MARCELLUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-446-5676",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34003862A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATS Wellness & Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ATS Wellness & Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 3, 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.