Olisha Mafu LCSW Counseling and Counsultation LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

OLISHA MAFU LCSW COUNSELING AND COUNSULTATION LLC

Practice address

7712 Bolero Drive
Camby, IN 46113

Phone

(574) 315-1599

NPI assigned

Apr 9, 2021

Last updated

Apr 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olisha Calvette Mafu, MSW, LCSW

Title

Owner/Ceo

Phone

(574) 315-1599

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Olisha Calvette Smith, MSW, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1811457112
  NPD

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1861072308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8063 MADISON AVE # 1193",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7712 BOLERO DRIVE",
            "city": "CAMBY",
            "state": "IN",
            "postal_code": "46113",
            "telephone_number": "574-315-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLISHA MAFU LCSW COUNSELING AND COUNSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "MAFU",
        "authorized_official_first_name": "OLISHA",
        "authorized_official_middle_name": "CALVETTE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "574-315-1599",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Camby, IN
• Providers in Camby, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.