Harmony Counseling and Self Care LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HARMONY COUNSELING AND SELF CARE LLC

Practice address

1330 Win Hentschel Blvd Ste 222
West Lafayette, IN 47906-4149

Phone

(765) 237-9091

Fax

(765) 374-2752

NPI assigned

Jul 22, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Ryaan Jamal Mansouri, LCSWNPI 1306310677

Title

Sole MBR

Phone

(765) 237-9091

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Ryaan J Mansouri, MSW, LCSW

  • Clinical Social Worker
  • West Lafayette, IN
  • NPI 1306310677
  NPD Authorized official

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1750954137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N OAK ST",
            "city": "EARL PARK",
            "state": "IN",
            "postal_code": "479428601",
            "telephone_number": "765-237-9091",
            "fax_number": "765-374-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 WIN HENTSCHEL BLVD STE 222",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479064149",
            "telephone_number": "765-237-9091",
            "fax_number": "765-374-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY COUNSELING AND SELF CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "MANSOURI",
        "authorized_official_first_name": "RYAAN",
        "authorized_official_middle_name": "JAMAL",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "765-237-9091",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "34007499A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Han NA Park DDS PC
• Cathy Lou Hancook, PHARMD
• Brittany Hannon
• Savanna Hannon
• Lisa Marie Harding
• Jade Harms
• Katelyn Harrington
• Laura Haston
• Karen M Hatfield, LMHC
• Elizabeth Ellen Hathaway, M.D.

• Clinical Social Worker in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.