NPIMap

Organization Active NPI

Adjust Mental Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fishers, IN
National Provider Identifier
1841990686
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ADJUST MENTAL HEALTH, LLC
Practice address
10100 Lantern Rd Ste 250
Fishers, IN 46037-9408
Phone
(317) 992-1988
NPI assigned
Mar 9, 2023
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Keegan Crocker, PMHNP-BCNPI 1639500739
Title
Owner
Phone
(317) 992-1988

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

10100 Lantern Rd Ste 250
Fishers, IN 46037-9408

Mailing address

10100 Lantern Rd Ste 250
Fishers, IN 46037-9408
Phone (317) 992-1988

Other practice location 1

13908 Fieldcrest Dr
McCordsville, IN 46055-7202
Phone (317) 992-1988

Other practice location 2

14726 Rosebud Dr
Noblesville, IN 46060-4714
Phone (317) 981-1988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240426001143 IN Part B Supplier - Clinic/Group Practice 9537509328 Receives reassigned benefits from 3 practitioners
Practice locations: Fishers, IN

National Provider Directory

National Provider Directory

Locations

10100 Lantern Rd
Ste 250
Fishers, IN 46037
Phone (317) 992-1988

11650 Lantern Rd
Ste 134
Fishers, IN 46038
Phone (317) 992-1988

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1841990686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 LANTERN RD STE 250",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379408",
            "telephone_number": "317-992-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 LANTERN RD STE 250",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379408",
            "telephone_number": "317-992-1988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13908 Fieldcrest Dr",
            "address_purpose": "LOCATION",
            "city": "McCordsville",
            "state": "IN",
            "postal_code": "460557202",
            "country_code": "US",
            "telephone_number": "317-992-1988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14726 Rosebud Dr",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460604714",
            "country_code": "US",
            "telephone_number": "317-981-1988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADJUST MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "CROCKER",
        "authorized_official_first_name": "KEEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-992-1988",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.