Organization Active NPI

Kindred Wellness Company

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1720938350
Registry record updated Jun 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KINDRED WELLNESS COMPANY
Practice address
1028 Reserve Way
Indianapolis, IN 46220-1883
Phone
(317) 662-4244
NPI assigned
Feb 2, 2026
Last updated
Jun 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2026

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

Authorized official

Name
Grace Theofanis, LMHCNPI 1174119242
Title
Mental Health Therapist/Owner
Phone
(317) 662-4244

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1028 Reserve Way
Indianapolis, IN 46220-1883

Mailing address

1113 E 86TH St Ste 207
Indianapolis, IN 46240-1811
Phone (317) 662-4244

National Provider Directory

National Provider Directory

Locations

1113 E 86th St
Indianapolis, IN 46240

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": "1769990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781395200000",
    "number": "1720938350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 E 86TH ST STE 207",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401811",
            "telephone_number": "317-662-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 RESERVE WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201883",
            "telephone_number": "317-662-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED WELLNESS COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-06-14",
        "certification_date": "2026-06-14",
        "status": "A",
        "authorized_official_last_name": "THEOFANIS",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST/OWNER",
        "authorized_official_telephone_number": "317-662-4244",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 14, 2026; 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.