Active NPI
Jason Andrew Warner, PH.D., LMFT, LMHC
- Marriage & Family Therapist
- Avon, IN
National Provider Identifier
1952354722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 35001576A
- Practice address
- 459 S State Road 267
Avon, IN 46123-8486 - Phone
- (317) 838-0242
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39001766A | IN | |
| Marriage & Family Therapist | 106H00000X | 35001576A | IN | Primary |
Addresses
Primary practice location
459 S State Road 267
Avon, IN 46123-8486
Mailing address
459 S State Road 267
Avon, IN 46123-8486
Phone (317) 838-0242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000388028 | Other | IN | BLUE CROSS BLUE SHEILD |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39001766A | IN | MD | Mental Health Counselor |
| 35001576A | IN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1952354722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "459 S STATE ROAD 267",
"city": "AVON",
"state": "IN",
"postal_code": "461238486",
"telephone_number": "317-838-0242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 S STATE ROAD 267",
"city": "AVON",
"state": "IN",
"postal_code": "461238486",
"telephone_number": "317-838-0242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "JASON",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "PH.D., LMFT, LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39001766A",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35001576A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "000000388028",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.