NPIMap

Organization Active NPI

Soul Trine

  • Massage Therapist
  • Indianapolis, IN
National Provider Identifier
1801785662
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SOUL TRINE
Practice address
1609 S East St
Indianapolis, IN 46225-1809
Phone
(317) 210-3198
NPI assigned
Jun 28, 2025
Last updated
Jun 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

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

Authorized official

Name
Candace BlackNPI 1093604852
Title
Managing Partner
Phone
(404) 692-3404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

1609 S East St
Indianapolis, IN 46225-1809

Mailing address

1609 S East St
Indianapolis, IN 46225-1809
Phone (317) 210-3198

National Provider Directory

National Provider Directory

Locations

1609 S East St
Indianapolis, IN 46225
Phone (317) 210-3198

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1751068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751068800000",
    "number": "1801785662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 S EAST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462251809",
            "telephone_number": "317-210-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 S EAST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462251809",
            "telephone_number": "317-210-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL TRINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-28",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "404-692-3404"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 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.