Active NPI
Capital City Family Education Services
- Point of Service
- Indianapolis, IN
National Provider Identifier
1790225332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 34004024-A
- Legal business name
- CAPITAL CITY FAMILY EDUCATION SERVICES
- Practice address
- 8202 Clearvista Pkwy
Suite 6a
Indianapolis, IN 46256-1400 - Phone
- (317) 588-6538
- NPI assigned
- Mar 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Danica M McClendon, LCSW
- Title
- Licensed Clinical Therapist
- Phone
- (317) 588-6538
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 34004024-A | IN | Primary |
Addresses
Primary practice location
8202 Clearvista Pkwy
Suite 6a
Indianapolis, IN 46256-1400
Mailing address
8202 Clearvista Pkwy
Suite 6a
Indianapolis, IN 46256-1400
Phone (317) 588-6538
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13969991 | Medicaid | IN |
National Provider Directory
National Provider Directory- Tax ID family
- Capital City Family Education Services
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Counselor
- Merrillville, IN
- NPI 1942561162
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Merrillville, IN
- NPI 1588115323
-
- Clinical Social Worker
- Merrillville, IN
- NPI 1104296011
Locations
8202 Clearvista Pkwy
Ste 6A
Indianapolis, IN 46256
Phone (317) 288-9942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488326400000",
"number": "1790225332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8202 CLEARVISTA PKWY",
"address_2": "SUITE 6A",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561400",
"telephone_number": "317-588-6538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8202 CLEARVISTA PKWY",
"address_2": "SUITE 6A",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561400",
"telephone_number": "317-588-6538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITAL CITY FAMILY EDUCATION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-01",
"last_updated": "2017-03-01",
"status": "A",
"authorized_official_last_name": "MCCLENDON",
"authorized_official_first_name": "DANICA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "LICENSED CLINICAL THERAPIST",
"authorized_official_telephone_number": "317-588-6538",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "IN",
"license": "34004024-A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13969991",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.