Individual provider Active NPI

Phillip Wesley Graybiel, LMHC

  • Mental Health Counselor
  • Lebanon, IN
National Provider Identifier
1750952347
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003928A Issued in IN
Practice address
610 N Lebanon St
Lebanon, IN 46052-1716
Phone
(765) 894-3768
NPI assigned
Jul 6, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39003928A IN Primary

Addresses

Primary practice location

610 N Lebanon St
Lebanon, IN 46052-1716

Mailing address

3610 Sommersworth LN
Indianapolis, IN 46228-6602
Phone (765) 894-3768

Other practice location 1

5230 E Stop 11 Rd Ste 350
Indianapolis, IN 46237-6402
Phone (317) 783-8383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240318002952 IN Practitioner - Mental Health Counselor 0143667816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Behavioral Health LLCGroup PAC ID 4587834874, 132 clinicians

Practice addresses (Care Compare)

10801 N Michigan Rd
Suite 240
Zionsville, IN 46077-7845
Phone (317) 558-0630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39003928AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Health Services Corp CurrentSince Feb 15, 2024 Accepting new patients
Midwest Behavioral Health LLC CurrentSince Jul 1, 2024 Accepting new patients
Meridian Health Services Corp. CurrentSince Feb 15, 2024 Accepting new patients
Meridian Health Services Corp. Past Accepting new patients
Franciscan Physician Network PastSince Apr 1, 2022 Accepting new patients
Franciscan Physician Network PastSince Apr 1, 2022 Accepting new patients

Locations

7300 E Indiana St
Ste 103
Evansville, IN 47715
Phone (812) 401-8008

5230 E Stop 11 Rd
Ste 300
Indianapolis, IN 46237
Phone (317) 781-4588

240 N Tillotson Ave
Muncie, IN 47304

10801 N Michigan Rd
Ste 240
Zionsville, IN 46077
Phone (317) 558-0630

Interoperability endpoints

  • Direct secure messaging: phillip.graybiel.p1@direct.meridianhs.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1750952347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 SOMMERSWORTH LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462286602",
            "telephone_number": "765-894-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521716",
            "telephone_number": "765-894-3768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5230 E Stop 11 Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462376402",
            "country_code": "US",
            "telephone_number": "317-783-8383",
            "fax_number": "317-782-6929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAYBIEL",
        "first_name": "PHILLIP",
        "middle_name": "WESLEY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-06",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003928A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

Verify at the official NPI Registry.