NPIMap

Organization Active NPI

Autism Counseling & Behavior Consultation, Inc

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1700146008
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004338A Issued in IN
Legal business name
AUTISM COUNSELING & BEHAVIOR CONSULTATION, INC
Practice address
6515 E 82ND St
Suite 110
Indianapolis, IN 46250-1576
Phone
(317) 596-1966
Fax
(317) 598-0802
NPI assigned
May 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Authorized official

Name
Ms. Kell A Ernsperger, LCSW
Title
President
Phone
(317) 596-1966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 34004338A IN Primary

Addresses

Primary practice location

6515 E 82ND St
Suite 110
Indianapolis, IN 46250-1576

Mailing address

6515 E. 82ND St
Suite 110
Indianapolis, IN 46250-1544
Phone (317) 596-1966

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1700146008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 E. 82ND ST",
            "address_2": "SUITE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501544",
            "telephone_number": "317-596-1966",
            "fax_number": "317-598-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 E 82ND ST",
            "address_2": "SUITE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501576",
            "telephone_number": "317-596-1966",
            "fax_number": "317-598-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM COUNSELING & BEHAVIOR CONSULTATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "ERNSPERGER",
        "authorized_official_first_name": "KELL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-596-1966",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004338A",
            "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 21, 2012; 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.