Active NPI
Kindred Wellness Company
- Mental Health Counselor
- Indianapolis, IN
National Provider Identifier
1720938350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Grace Theofanis, LMHC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Bloomington, IN
- NPI 1174119242
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
- Kindred Community Resources, LLC
- Kindred Hospice
- Kindred Hospitals Limited Partnership (Kindred Hospital - Indianapolis)
- Kindred Hospitals Limited Partnership (d/b/a Kindred Hospital - Indianapolis)
- Kindred Spirit Therapy Services, LLC
- Barbara E Kindred, PT
- Kristin Berit Kindred, DPM
- Catherine Renee King Schroeder, LCSW
- Marsha M King-Fawcett, LCSW
- Adam Samuel King
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.