Active NPI
Samuel Alexander Hockley, LMHC
- Mental Health Counselor
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39004540A
- Practice address
- 8401 Harcourt Rd
Indianapolis, IN 46260-2036 - Phone
- (317) 338-4600
- NPI assigned
- May 20, 2020
- Last updated
- Jul 11, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39004540A | IN | Primary |
Addresses
Primary practice location
8401 Harcourt Rd
Indianapolis, IN 46260-2036
Mailing address
8401 Harcourt Rd
Indianapolis, IN 46260-2036
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellqor Psychological Services, PC | Current | Accepting new patients |
Locations
333 N Alabama St
Indianapolis, IN 46204
Phone (317) 395-3391
333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002
1251 N Eddy St
Ste 200
South Bend, IN 46617
Phone (219) 286-7258
135 Pinelawn Rd
Ste 204N
Melville, NY 11747
Phone (631) 328-2440
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1689297061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 HARCOURT RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462602036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 HARCOURT RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462602036",
"telephone_number": "317-338-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOCKLEY",
"first_name": "SAMUEL",
"middle_name": "ALEXANDER",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-20",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39004540A",
"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 Jul 11, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.