Sycamore Family Services of Indiana

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

SYCAMORE FAMILY SERVICES OF INDIANA

Practice address

3445 W 71St Street
Indianapolis, IN 46268

Phone

(317) 937-1122

NPI assigned

Feb 19, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Jacquelyn Elaine Powell, LCAC, LMHCNPI 1881287860

Title

Director

Phone

(317) 371-1122

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jacquelyn Elaine Powell, LCAC, LMHC

  • Addiction (Substance Use Disorder) Counselor
  • Indianapolis, IN
  • NPI 1881287860

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1699368795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 LONGWOOD CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46268",
            "telephone_number": "317-937-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 W 71ST STREET",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46268",
            "telephone_number": "317-937-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE FAMILY SERVICES OF INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-371-1122",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCAC, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Swonder, PHARMD
• Reece Jacob Swoverland
• Sarah Elizabeth Swygart, LMFT
• Albert Sy, MD
• Honorata Sy, RBT
• Sycamore Rehab Services/Hendricks Co. Arc, Inc.
• Sycamore Rehabilitation Services
• Sycamore Springs Surgery Center, LLC
• Aiza Sehrish Syed
• Amina Syed, M.D.

• All providers in Indianapolis, IN
• Addiction (Substance Use Disorder) Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.