Active NPI
Sayre Counseling Services, LLC
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1700382892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34006842A
- Legal business name
- SAYRE COUNSELING SERVICES, LLC
- Practice address
- 1311 W 96TH St Ste 105
Indianapolis, IN 46260-1173 - Phone
- (317) 410-6393
- NPI assigned
- Apr 5, 2018
- Last updated
- Dec 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Becky Sayre, LCSW
- Title
- Owner/Provider
- Phone
- (317) 661-4742
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34006842A | IN | Primary |
| Adult Mental Health Clinic/Center | 261QM0850X | 34006842A | IN |
Addresses
Primary practice location
1311 W 96TH St Ste 105
Indianapolis, IN 46260-1173
Mailing address
3108 Lehigh CT
Indianapolis, IN 46268-1320
Phone (317) 410-6393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1311 W 96th St
Ste 105
Indianapolis, IN 46260
Phone (317) 410-6393
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Indianapolis, IN
- NPI 1669751491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544400000000",
"number": "1700382892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3108 LEHIGH CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462681320",
"telephone_number": "317-410-6393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 W 96TH ST STE 105",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601173",
"telephone_number": "317-410-6393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAYRE COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-05",
"last_updated": "2018-12-10",
"status": "A",
"authorized_official_last_name": "SAYRE",
"authorized_official_first_name": "BECKY",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "317-661-4742",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34006842A",
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "IN",
"license": "34006842A",
"primary": false
}
],
"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 Dec 10, 2018; 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.