NPIMap

Organization Active NPI

Indy Counseling and Wellness Group LLC

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1811320146
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005223A Issued in IN
Legal business name
INDY COUNSELING AND WELLNESS GROUP LLC
Practice address
1040 E 86TH St Ste 44N
Indianapolis, IN 46240-1856
Phone
(317) 796-7277
NPI assigned
Aug 9, 2013
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jennifer Leigh Touw-Gonzalez, LCSWNPI 1093147324
Title
Counselor
Phone
(317) 796-7277

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 34005223A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

1040 E 86TH St Ste 44N
Indianapolis, IN 46240-1856

Mailing address

1040 E 86TH St Ste 44N
Indianapolis, IN 46240-1856
Phone (317) 796-7277

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 9, 2013.

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1811320146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 E 86TH ST STE 44N",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401856",
            "telephone_number": "317-796-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 E 86TH ST STE 44N",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401856",
            "telephone_number": "317-796-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDY COUNSELING AND WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-09",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "TOUW-GONZALEZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "317-796-7277",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005223A",
            "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 Aug 9, 2013; 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.