Educational Destinations Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EDUCATIONAL DESTINATIONS INC.

Practice address

3349 N College Ave
Indianapolis, IN 46205-3859

Phone

(317) 903-0122

Fax

(317) 543-9870

NPI assigned

Jan 17, 2019

Organization subpart

No

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

Authorized official

Name

Madonna Richardson, LPN, BS, MBA, MSM

Title

Director

Phone

(317) 903-0122

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1881168342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 ABERDEEN CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462263202",
            "fax_number": "317-543-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 N COLLEGE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462053859",
            "telephone_number": "317-903-0122",
            "fax_number": "317-543-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCATIONAL DESTINATIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "MADONNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-903-0122",
        "authorized_official_credential": "LPN, BS, MBA, MSM"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farris Edmundson
• Ryan Ednalino
• Rodrigo Del Castillo Edo, RPT
• Edp of Indiana, PC
• Kelly J. Edsall, NP
• Mary K Edwards-Brown, M.D.
• Anna M Edwards, MD
• Ashlyn Edwards
• Bryan Arthur Edwards
• Christa Edwards, MOT, OTR

• Mental Health Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.