Shelise Mahaia Decal, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

35002180A Issued in IN

Practice address

8710 Bash St Unit 50154
Indianapolis, IN 46250-4017

Phone

(442) 222-8055

NPI assigned

Oct 26, 2017

Last updated

Sep 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Innovative Interventions, LLC

  • Community/Behavioral Health Agency
  • Indianapolis, IN
  • NPI 1023180387
  NPD (past)

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1871005165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8710 BASH ST UNIT 50154",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504017",
            "telephone_number": "442-222-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 BASH ST UNIT 50154",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504017",
            "telephone_number": "442-222-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECAL",
        "first_name": "SHELISE",
        "middle_name": "MAHAIA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35002180A",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalifah Debrodt-Sharper
• David John Debrota, M.D.
• Jared Harrison Debruin
• Matthew E Deburger, CAA
• Natalie Rae Deburger, CAA
• Decatur Civil Township (Decatur Township Fire Department)
• Decatur Family Dentistry LLC
• Decatur Family Dentistry LLC
• Jiffyrich Montes Dechavez
• Isai Deciano

• Marriage & Family Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Marriage & Family Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.