Organization Active NPI

Sayre Counseling Services, LLC

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1700382892
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006842A Issued in IN
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
Becky Sayre, LCSWNPI 1669751491
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20180511001524 IN Part B Supplier - Clinic/Group Practice 2365706769 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.