Indira J Reddy, ED.D
Individual provider Active NPI Mental Health Counselor · Colfax, NC
NPI 1992595185 · NPPES record last updated May 9, 2025
Key facts
- NPI
- 1992595185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 20665 (NC)
- Practice address
- 4765 Otremba Cir Apt 1a
Colfax, NC 27235-9847 - Phone
- (815) 501-6805
- NPI assigned
- May 9, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20665 | NC | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 20665 | NC | Yes |
Addresses
Primary practice location
4765 Otremba Cir Apt 1a
Colfax, NC 27235-9847
Mailing address
4765 Otremba Cir Apt 1a
Colfax, NC 27235-9847
Phone (815) 501-6805
Other providers in Colfax, NC
- Augusta Mendenhall
- Sarah Lynn Mevissen
- Chasity Nelson
- Breanne Powley
- Presbyterian Homes Inc
- Sarah Rivera Lopez
- Luis Alberto Sanchez
- Heather R. Smith
- Hannah Spach
- Tackett Medical, PLLC
All providers in Colfax, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.