Individual provider Active NPI

John Aaron Krieg, MA, LMFT

  • Marriage & Family Therapist
  • Indianapolis, IN
National Provider Identifier
1689330391
Registry record updated May 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35002280A Issued in IN
Practice address
9465 Counselors Row
Indianapolis, IN 46240-6423
Phone
(317) 483-8107
NPI assigned
Nov 17, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35002280A IN Primary

Addresses

Primary practice location

9465 Counselors Row
Indianapolis, IN 46240-6423

Mailing address

5319 W 200 S
New Palestine, IN 46163-8810
Phone (317) 476-5905

Other practice location 1

8102 Clearvista Pkwy
Indianapolis, IN 46256-1661
Phone (317) 957-9740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
35002280AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Life Counseling LLC Marriage & Family Therapist CurrentSince Feb 8, 2023 Accepting new patients

Locations

600 E Carmel Dr
Ste 139
Carmel, IN 46032

9465 Counselors Row
Indianapolis, IN 46240
Phone (317) 483-8107

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685232000000",
    "number": "1689330391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 W 200 S",
            "city": "NEW PALESTINE",
            "state": "IN",
            "postal_code": "461638810",
            "telephone_number": "317-476-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9465 COUNSELORS ROW",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462406423",
            "telephone_number": "317-483-8107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8102 Clearvista Pkwy",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462561661",
            "country_code": "US",
            "telephone_number": "317-957-9740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRIEG",
        "first_name": "JOHN",
        "middle_name": "AARON",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-17",
        "last_updated": "2023-05-28",
        "certification_date": "2023-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35002280A",
            "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 May 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.