Active NPI
Charity Aaryn Rose, LSW
- Social Worker
- Indianapolis, IN
National Provider Identifier
1790356392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33009321A
- Practice address
- 7550 S Meridian St Ste a
Indianapolis, IN 46217-2912 - Phone
- (317) 250-4185
- NPI assigned
- Jul 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33009321A | IN | Primary |
Addresses
Primary practice location
7550 S Meridian St Ste a
Indianapolis, IN 46217-2912
Mailing address
880 Grant CT
Greenwood, IN 46143-9696
Phone (317) 250-4185
Other names 1
- Charity Aaryn Shultz
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | charity@indytc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33009321A | IN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indy Therapy and Counseling, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
- NPI 1467911883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625443200000",
"number": "1790356392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 GRANT CT",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461439696",
"telephone_number": "317-250-4185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7550 S MERIDIAN ST STE A",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462172912",
"telephone_number": "317-250-4185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "CHARITY",
"middle_name": "AARYN",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-05",
"last_updated": "2021-07-05",
"certification_date": "2021-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33009321A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "charity@indytc.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "7550 S Meridian St Ste A",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462172912",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CHARITY",
"last_name": "SHULTZ",
"middle_name": "AARYN",
"credential": "LSW",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 5, 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.