Active NPI
Allison Bordeaux, LMHC, PHD
- Counseling Psychologist
- Indianapolis, IN
National Provider Identifier
1730249111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 20042642A
- Practice address
- 6950 Hillsdale CT
Indianapolis, IN 46250-2040 - Phone
- (317) 621-7740
- Fax
- (317) 621-7608
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Counseling Psychologist | 103TC1900X | 20042642A | IN | Primary |
Addresses
Primary practice location
6950 Hillsdale CT
Indianapolis, IN 46250-2040
Mailing address
6626 E 75TH Street
Suite 500
Indianapolis, IN 46250-2890
Phone (317) 621-7561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201089340 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abordeaux17283@eCommunityDirect.com | Community Health Network, Inc |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Network, Inc | Past | Accepting new patients |
Interoperability endpoints
- abordeaux17283@ecommunitydirect.com
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
- NPI 1922336262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1730249111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH STREET",
"address_2": "SUITE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890",
"telephone_number": "317-621-7561",
"fax_number": "317-355-6096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6950 HILLSDALE CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502040",
"telephone_number": "317-621-7740",
"fax_number": "317-621-7608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDEAUX",
"first_name": "ALLISON",
"credential": "LMHC, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2023-11-27",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "IN",
"license": "20042642A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201089340",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abordeaux17283@eCommunityDirect.com",
"affiliation": "Y",
"affiliationName": "Community Health Network, Inc",
"address_1": "6950 Hillsdale Ct",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462502040",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.