Individual provider Active NPI

Elisabeth Henn-Carlson, MS, CHT, LMHC, LMFT

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1811218027
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39000922A Issued in IN
Practice address
740 E 52ND St Ste 12
Indianapolis, IN 46205-1176
Phone
(317) 921-0972
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39000922A IN Primary
Marriage & Family Therapist 106H00000X 35001142A IN

Addresses

Primary practice location

740 E 52ND St Ste 12
Indianapolis, IN 46205-1176

Mailing address

740 E 52ND St Ste 12
Indianapolis, IN 46205-1176
Phone (317) 921-0972

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
39000922AINMDMental Health Counselor
35001142AINMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1811218027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 E 52ND ST STE 12",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051176",
            "telephone_number": "317-921-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E 52ND ST STE 12",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051176",
            "telephone_number": "317-921-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENN-CARLSON",
        "first_name": "ELISABETH",
        "name_prefix": "Ms.",
        "credential": "MS, CHT, LMHC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000922A",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001142A",
            "primary": false
        }
    ],
    "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 22, 2010; 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.