Organization Active NPI

Mosaic Counseling Services, LLC

  • Marriage & Family Therapist
  • Greenfield, IN
National Provider Identifier
1831655182
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MOSAIC COUNSELING SERVICES, LLC
Practice address
808 E Main St Ste B
Greenfield, IN 46140-2619
Phone
(317) 645-7691
Fax
(317) 318-0816
NPI assigned
Feb 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Jonathan Mark Burg, LMFTNPI 1750678173
Title
LMFT; Owner
Phone
(317) 645-7691

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
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

808 E Main St Ste B
Greenfield, IN 46140-2619

Mailing address

15214 Dry Creek Rd
Noblesville, IN 46060-4642
Phone (317) 645-7691

Other practice location 1

23 S 8th St Ste 3700
Noblesville, IN 46060-2664
Phone (317) 645-7691

National Provider Directory

National Provider Directory

Locations

808 E Main St
#B
Greenfield, IN 46140
Phone (317) 645-7691

23 S 8th St
Ste 3700
Noblesville, IN 46060
Phone (317) 645-7691

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1831655182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15214 DRY CREEK RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604642",
            "telephone_number": "317-645-7691",
            "fax_number": "317-318-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 E MAIN ST STE B",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402619",
            "telephone_number": "317-645-7691",
            "fax_number": "317-318-0816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 S 8th St Ste 3700",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460602664",
            "country_code": "US",
            "telephone_number": "317-645-7691",
            "fax_number": "317-318-0816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOSAIC COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "BURG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "LMFT; OWNER",
        "authorized_official_telephone_number": "317-645-7691",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.