Individual provider Active NPI

Asra Syed

  • Marriage & Family Therapist
  • Noblesville, IN
National Provider Identifier
1851056337
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35002184A Issued in IN
Practice address
14540 Prairie Lakes Blvd N
Noblesville, IN 46060-4366
Phone
(317) 569-5433
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20240723000248 IN Practitioner - Marriage and Family Therapist 1153867502 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35002184AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 25, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 25, 2024 Accepting new patients
Lifesolutions Counseling Associates, P.C. Mental Health Past Accepting new patients

Locations

1185 W Carmel Dr
Ste D4
Carmel, IN 46032
Phone (317) 208-2300

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35002184A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

14540 Prairie Lakes Blvd N
Noblesville, IN 46060-4366

Mailing address

14540 Prairie Lakes Blvd N
Noblesville, IN 46060-4366
Phone (310) 483-3884

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
35002184AOtherINANTHEM, AETNA, CIGNA

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
SOAP URL Carmel Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 6, 2022.

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1851056337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14540 PRAIRIE LAKES BLVD N",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604366",
            "telephone_number": "310-483-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 PRAIRIE LAKES BLVD N",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604366",
            "telephone_number": "317-569-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "ASRA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2022-01-06",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35002184A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM, AETNA, CIGNA",
            "identifier": "35002184A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Carmel",
            "affiliation": "N",
            "endpointDescription": "Telehealth from home",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "Carmel",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Carmel",
            "address_1": "14571 Integrity Ct",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460339845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.