Individual provider Active NPI

Thomas Parry III, BCBA, LMHC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1992090328
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003998A Issued in IN
Practice address
7962 Oaklandon Rd Ste 104
Indianapolis, IN 46236
Phone
(703) 901-8355
NPI assigned
Jun 14, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Mental Health Counselor 101YM0800X 39003998A IN Primary

Addresses

Primary practice location

7962 Oaklandon Rd Ste 104
Indianapolis, IN 46236

Mailing address

7962 Oaklandon Rd Ste 104
Indianapolis, IN 46236-7502
Phone (703) 901-8355

Other practice location 1

7962 Oaklandon Rd Ste 104
Indianapolis, IN 46236
Phone (703) 901-8355

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

LicenseStateTypeSpecialty
39003998AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Parry Behavioral Consulting, LLC Behavior Analyst Current Accepting new patients

Locations

7962 Oaklandon Rd
Ste 104
Indianapolis, IN 46236
Phone (317) 646-0762

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1992090328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7962 OAKLANDON RD STE 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462367502",
            "telephone_number": "703-901-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7962 OAKLANDON RD STE 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46236",
            "telephone_number": "703-901-8355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7962 Oaklandon Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46236",
            "country_code": "US",
            "telephone_number": "703-901-8355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRY",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "BCBA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003998A",
            "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 6, 2021; 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.