Active NPI
Diane Elliott, LCSW
- Counselor
- Indianapolis, IN
National Provider Identifier
1962946434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 34003600A
- Practice address
- 615 N. Alabama St.
Suite 320
Indianapolis, IN 46204 - Phone
- (317) 634-6341
- Fax
- (317) 464-9575
- NPI assigned
- Dec 18, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 34003600A | IN | Primary |
Addresses
Primary practice location
615 N. Alabama St.
Suite 320
Indianapolis, IN 46204
Mailing address
615 N. Alabama St.
Suite 320
Indianapolis, IN 46204
Phone (317) 634-6341
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34003600A | IN | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482019200000",
"number": "1962946434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 N. ALABAMA ST.",
"address_2": "SUITE 320",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46204",
"telephone_number": "317-634-6341",
"fax_number": "317-464-9575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N. ALABAMA ST.",
"address_2": "SUITE 320",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46204",
"telephone_number": "317-634-6341",
"fax_number": "317-464-9575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "DIANE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-18",
"last_updated": "2016-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IN",
"license": "34003600A",
"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 Dec 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.