Mixon Adversity With Success LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MIXON ADVERSITY WITH SUCCESS LLC

Practice address

3210 Summerfield Dr
Indianapolis, IN 46214-1868

Phone

(317) 490-1257

NPI assigned

Aug 28, 2025

Organization subpart

No

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

Authorized official

Name

Bianca Mixon, MSW

Title

Owner

Phone

(317) 490-1257

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1740169291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 SUMMERFIELD DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462141868",
            "telephone_number": "317-490-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 SUMMERFIELD DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462141868",
            "telephone_number": "317-490-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIXON ADVERSITY WITH SUCCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "MIXON",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-490-1257",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lee Mitseff-Medlen
• Anisha Mittal, MD
• Varun Mittal, MD
• Danica D. Mitten, PNP
• Mitthoeffer Family Dental, LLC
• Dametrea Mixon
• Satoshi Miyahara
• Alexandra Miyamoto
• Richard Christopher Miyamoto, MD
• Richard T Miyamoto, M.D.

• Community/Behavioral Health Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.