NPIMap

Organization Active NPI

Agape Behavioral Health and Addiction Counseling Services, Inc

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1982124558
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39000759A Issued in IN
Legal business name
AGAPE BEHAVIORAL HEALTH AND ADDICTION COUNSELING SERVICES, INC
Practice address
5150 E Stop 11 Rd Ste 14
Indianapolis, IN 46237-8629
Phone
(317) 889-7520
Fax
(317) 889-7520
NPI assigned
Jun 23, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mary Beth MahanNPI 1790853877
Title
President/Owner
Phone
(317) 886-7404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87001345A IN
Mental Health Counselor 101YM0800X 39000759A IN Primary

Addresses

Primary practice location

5150 E Stop 11 Rd Ste 14
Indianapolis, IN 46237-8629

Mailing address

5150 E Stop 11 Rd Ste 14
Indianapolis, IN 46237-8629
Phone (317) 886-7404

National Provider Directory

National Provider Directory

Locations

5150 E Stop 11 Rd
Ste 14
Indianapolis, IN 46237
Phone (317) 889-7520

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982124558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 E STOP 11 RD STE 14",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378629",
            "telephone_number": "317-886-7404",
            "fax_number": "317-851-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 E STOP 11 RD STE 14",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378629",
            "telephone_number": "317-889-7520",
            "fax_number": "317-889-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE BEHAVIORAL HEALTH AND ADDICTION COUNSELING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MAHAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "317-886-7404"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001345A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000759A",
            "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.