Lifestory Collaborative Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIFESTORY COLLABORATIVE COUNSELING LLC

Practice address

941 E 86TH St Ste 120
Indianapolis, IN 46240-1842

Phone

(317) 854-9790

NPI assigned

Dec 12, 2022

Organization subpart

No

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

Authorized official

Name

Cynthia Drouin, LMHCNPI 1518412543

Title

Owner, Sole Member

Phone

(317) 502-5760

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Drouin, LMHC

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1518412543
  NPD Authorized official

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1730890690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 E 86TH ST STE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401842",
            "telephone_number": "317-854-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 E 86TH ST STE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401842",
            "telephone_number": "317-854-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTORY COLLABORATIVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-11",
        "status": "A",
        "authorized_official_last_name": "DROUIN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER, SOLE MEMBER",
        "authorized_official_telephone_number": "317-502-5760",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.