Active NPI
Ethany Opal Abbra Michaud, LCSW
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1952917312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34009138A
- Practice address
- 3901 W 86TH St Ste 350
Indianapolis, IN 46268-5734 - Phone
- (317) 360-5864
- Fax
- (317) 271-5038
- NPI assigned
- Sep 21, 2020
- Last updated
- Nov 25, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34009138A | IN | Primary |
Addresses
Primary practice location
3901 W 86TH St Ste 350
Indianapolis, IN 46268-5734
Mailing address
3901 W 86TH St Ste 350
Indianapolis, IN 46268-5734
Phone (317) 676-9593
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34009138A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indy Therapy and Counseling, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
- NPI 1467911883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1952917312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 W 86TH ST STE 350",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462685734",
"telephone_number": "317-676-9593",
"fax_number": "317-271-5038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 W 86TH ST STE 350",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462685734",
"telephone_number": "317-360-5864",
"fax_number": "317-271-5038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAUD",
"first_name": "ETHANY",
"middle_name": "OPAL ABBRA",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-21",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34009138A",
"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 Nov 25, 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.