Individual provider Active NPI

Kyle Sloan, M.A., N.C.C

  • Mental Health Counselor
  • Valparaiso, IN
National Provider Identifier
1710350533
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2803 Boilermaker CT
Suite 1C
Valparaiso, IN 46383-8412
Phone
(219) 286-7043
Fax
(219) 246-4655
NPI assigned
Nov 2, 2015
Last updated
Aug 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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 NU Primary

Addresses

Primary practice location

2803 Boilermaker CT
Suite 1C
Valparaiso, IN 46383-8412

Mailing address

2803 Boilermaker CT
Suite 1C
Valparaiso, IN 46383-8412
Phone (219) 286-7043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1710350533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 BOILERMAKER CT",
            "address_2": "SUITE 1C",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463838412",
            "telephone_number": "219-286-7043",
            "fax_number": "219-246-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 BOILERMAKER CT",
            "address_2": "SUITE 1C",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463838412",
            "telephone_number": "219-286-7043",
            "fax_number": "219-246-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "KYLE",
        "credential": "M.A., N.C.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-02",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.