Indigo Etherapy LLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

INDIGO ETHERAPY LLC

Doing business as

Indigo Consulting & Meditation

Practice address

3019 Red Bark Dr
Conway, SC 29526-1313

Phone

(910) 377-7752

NPI assigned

Aug 28, 2025

Last updated

Aug 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica L Glynn, MSNPI 1881196673

Title

Wellness Coach

Phone

(910) 377-7752

Specialties & licenses 1

Addresses

Other names 1

• Indigo Consulting & Meditation Doing business as

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.

• Jessica L Glynn

  • Marriage & Family Therapist
  • Conway, SC
  • NPI 1881196673
  Authorized official Same address or phone

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": "1770462228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 RED BARK DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295261313",
            "telephone_number": "910-377-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 RED BARK DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295261313",
            "telephone_number": "910-377-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO ETHERAPY 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": "GLYNN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "WELLNESS COACH",
        "authorized_official_telephone_number": "910-377-7752",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indigo Consulting & Meditation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elena Huttenlocher, LMSW
• Lucas Hyler, DO
• Adesuwa Igbinedion, MD
• Natosha I Ihly, FNP-C
• Kimberly Ann Inabinet, MSW
• Jorge Luis Infante, M.D.
• Erika Ingram, M.ED, MSED
• Institutional Pharmacy Solutions, LLC
• Instride Foot and Ankle Specialists, PLLC
• Mitchell Joseph Isaac, MD

• Health & Wellness Coach in Conway, SC
• Providers in Conway, SC by specialty
• Health & Wellness Coach in South Carolina

• 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.