NPIMap

Organization Active NPI

Novak Counseling, LLC

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1831431840
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005014A Issued in IN
Legal business name
NOVAK COUNSELING, LLC
Practice address
6408 Carrollton Ave
Indianapolis, IN 46220-1615
Phone
(317) 677-2728
Fax
(317) 466-1699
NPI assigned
Mar 18, 2013
Last updated
Mar 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Authorized official

Name
Dr. Daniel Eli Novak, PHD, LCSW, LCAC
Title
Owner
Phone
(317) 677-2728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34005014A IN Primary

Addresses

Primary practice location

6408 Carrollton Ave
Indianapolis, IN 46220-1615

Mailing address

6408 Carrollton Ave
Indianapolis, IN 46220-1615
Phone (317) 677-2728

Other identifiers 1

IdentifierTypeStateIssuer
1780663724OtherINTRICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1831431840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 CARROLLTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201615",
            "telephone_number": "317-677-2728",
            "fax_number": "317-466-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 CARROLLTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201615",
            "telephone_number": "317-677-2728",
            "fax_number": "317-466-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVAK COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ELI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-677-2728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW, LCAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005014A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1780663724",
            "state": "IN"
        }
    ],
    "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 Mar 18, 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.