Individual provider Active NPI

Kyle Wellendorf, MA, LMHC

  • Mental Health Counselor
  • Plainfield, IN
National Provider Identifier
1700517257
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
6291 Cambridge Way Ste 200
Plainfield, IN 46168-7944
Phone
(317) 718-8436
Fax
(317) 718-8438
NPI assigned
Jun 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

6291 Cambridge Way Ste 200
Plainfield, IN 46168-7944

Mailing address

202 Myers Rd
Danville, IN 46122-9702
Phone (317) 718-8436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251006001650 IN Practitioner - Mental Health Counselor 7911403167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendricks County Psychotherapy PSC 27 clinicians

Practice addresses (Care Compare)

6291 Cambridge Way
Suite 200
Plainfield, IN 46168-7905
Phone (317) 718-8436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Cummins Behavioral Health Systems, Incorporated CurrentSince Jun 26, 2022 Accepting new patients
Hendricks County Psychotherapy PSC CurrentSince Sep 29, 2025 Accepting new patients

Locations

202 Myers Rd
Danville, IN 46122
Phone (317) 718-8436

5638 Professional Cir
Indianapolis, IN 46241
Phone (317) 247-8900

6291 Cambridge Way
Ste 200
Plainfield, IN 46168
Phone (317) 718-8436

Organizations & group practices 2

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": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1700517257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MYERS RD",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461229702",
            "telephone_number": "317-718-8436",
            "fax_number": "317-718-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6291 CAMBRIDGE WAY STE 200",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461687944",
            "telephone_number": "317-718-8436",
            "fax_number": "317-718-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLENDORF",
        "first_name": "KYLE",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-23",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

Verify at the official NPI Registry.