Integrative Health Resources, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

34003862A Issued in IN

Legal business name

INTEGRATIVE HEALTH RESOURCES, LLC

Practice address

3802 W 96TH St Ste 220
Indianapolis, IN 46268-2916

Phone

(317) 471-8780

Fax

(317) 471-8782

NPI assigned

Dec 11, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Allen Marcellus Rader, LCSW

Title

President

Phone

(317) 471-8780

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jennifer Guthridge Williams, M.S., LMHC

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1750315156
  NPD (past)

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1831428341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 W 96TH ST STE 220",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462682916",
            "telephone_number": "317-471-8780",
            "fax_number": "317-471-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 W 96TH ST STE 220",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462682916",
            "telephone_number": "317-471-8780",
            "fax_number": "317-471-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "RADER",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "MARCELLUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-471-8780",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IN",
            "license": "34003862A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Integrative Health Specialist of Indiana PC
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• Adult Mental Health Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Adult Mental Health Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.