Individual provider Active NPI

Heather Kaufman-McKivigan, LMHC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1891423406
Registry record updated Mar 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
88001583A Issued in IN
Practice address
921 E 86TH St Ste 103
Indianapolis, IN 46240-1841
Phone
(317) 444-4979
Fax
(317) 444-4550
NPI assigned
Aug 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 88001583A IN Primary

Addresses

Primary practice location

921 E 86TH St Ste 103
Indianapolis, IN 46240-1841

Mailing address

921 E 86TH St Ste 103
Indianapolis, IN 46240-1841
Phone (317) 444-4979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
88001583AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heather Kaufman Counseling, LLC Mental Health CurrentSince Mar 1, 2024 Accepting new patients
Matthew E Glasser PastSince Sep 5, 2023 Accepting new patients

Locations

921 E 86th St
Ste 103
Indianapolis, IN 46240
Phone (317) 444-4979

1111 E 54th St
Ste 103
Indianapolis, IN 46220

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742688000000",
    "number": "1891423406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 E 86TH ST STE 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401841",
            "telephone_number": "317-444-4979",
            "fax_number": "317-444-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E 86TH ST STE 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401841",
            "telephone_number": "317-444-4979",
            "fax_number": "317-444-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN-MCKIVIGAN",
        "first_name": "HEATHER",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2025-03-23",
        "certification_date": "2025-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88001583A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2025; 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.