Individual provider Active NPI

Beverly Jean Riddle, M.S., L.M.H.C.

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1952334229
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39001361A Issued in IN
Practice address
905 Albany St
Indianapolis, IN 46203-5102
Phone
(317) 576-3840
NPI assigned
Jul 9, 2006
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39001361A IN Primary

Addresses

Primary practice location

905 Albany St
Indianapolis, IN 46203-5102

Mailing address

905 Albany St
Indianapolis, IN 46203-5102
Phone (317) 576-3840

Other identifiers 1

IdentifierTypeStateIssuer
1952334229MedicaidIN

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
I20251015002587 IN Practitioner - Mental Health Counselor 1658868476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hendricks County Psychotherapy PSCGroup PAC ID 9133149420, 27 clinicians

Practice addresses (Care Compare)

6291 Cambridge Way
Suite 200
Plainfield, IN 46168-7905
Phone (317) 718-8436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
39001361AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Psychotherapy PSC CurrentSince Oct 8, 2025 Accepting new patients
Indiana Be Well, Inc. CurrentSince Jun 1, 2026 Accepting new patients

Locations

1928 S Dan Jones Rd
Avon, IN 46123
Phone (317) 709-4106

202 Myers Rd
Danville, IN 46122
Phone (317) 718-8436

429 E Vermont St
Ste 306
Indianapolis, IN 46202
Phone (317) 338-4800

6291 Cambridge Way
Ste 200
Plainfield, IN 46168
Phone (317) 718-8436

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, 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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1952334229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 ALBANY ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462035102",
            "telephone_number": "317-576-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ALBANY ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462035102",
            "telephone_number": "317-576-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "BEVERLY",
        "middle_name": "JEAN",
        "credential": "M.S., L.M.H.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001361A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952334229",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.