Organization Active NPI

Elysian

  • Mental Health Counselor
  • Anderson, IN
National Provider Identifier
1861854879
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELYSIAN
Practice address
2082 N Bilbrey LN
Anderson, IN 46011-8756
Phone
(765) 617-6043
NPI assigned
Mar 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Ms. Jenifer Alyn Hatzell, MS
Title
Director/Therapist
Phone
(765) 617-6043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2082 N Bilbrey LN
Anderson, IN 46011-8756

Mailing address

2082 N Bilbrey LN
Anderson, IN 46011-8756
Phone (765) 617-6043

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1861854879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2082 N BILBREY LN",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460118756",
            "telephone_number": "765-617-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2082 N BILBREY LN",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460118756",
            "telephone_number": "765-617-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "HATZELL",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_middle_name": "ALYN",
        "authorized_official_title_or_position": "DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "765-617-6043",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.