Healing Self Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HEALING SELF THERAPY LLC

Practice address

9165 Otis Ave Ste 216
Indianapolis, IN 46216-2316

Phone

(317) 868-1979

NPI assigned

Sep 9, 2021

Last updated

Sep 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachael BainNPI 1477118453

Title

Owner

Phone

(317) 238-0709

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Healing Self Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Healing Self Therapy LLC

  • Adult Mental Health Clinic/Center
  • Indianapolis, IN
  • NPI 1922773266
  NPD tax ID

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.

• Rachael Bain, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1477118453
  NPD Authorized official

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1700555141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6328 E 52ND PL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9165 OTIS AVE STE 216",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162316",
            "telephone_number": "317-868-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING SELF THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-238-0709"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300044689",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healing Hands Home Health LLC
• Healing Hands Personal Home Cares LLC
• Healing Hands Personal Services Agency LLC
• Healing Hearts in Home Services LLC
• Healing Life Home Care LLC
• Healing Self Therapy LLC
• Healing Solutions Counseling Services, Inc.
• Healing Solutions Transitional Living Services
• Healing Streams Psychotherapy and Counseling,LLC
• Healing With Conviction LLC

• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.