Individual provider Active NPI

Mary Beth Winter, LMFT

  • Marriage & Family Therapist
  • Indianapolis, IN
National Provider Identifier
1932548302
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35001804A Issued in IN
Practice address
921 E 86TH St Ste 210
Indianapolis, IN 46240-1841
Phone
(317) 966-3408
NPI assigned
Jun 19, 2013
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 85000091A IN
Marriage & Family Therapist 106H00000X 35001804A IN Primary

Addresses

Primary practice location

921 E 86TH St Ste 210
Indianapolis, IN 46240-1841

Mailing address

921 E 86TH St Ste 210
Indianapolis, IN 46240-1841
Phone (317) 966-3408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723000947 IN Practitioner - Marriage and Family Therapist 6608312962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1185 W Carmel Dr
Suite D4
Carmel, IN 46032-8708
Phone (317) 569-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35001804AINMDMarriage & Family Therapist
85000091AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 25, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 25, 2024 Accepting new patients

Locations

1185 W Carmel Dr
Ste D4
Carmel, IN 46032
Phone (317) 208-2300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1932548302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 E 86TH ST STE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401841",
            "telephone_number": "317-966-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E 86TH ST STE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401841",
            "telephone_number": "317-966-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "MARY BETH",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "85000091A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001804A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.