ASPIRE INDIANA INC. NPI 1124016050

NPI Information

NPI: 1124016050
Provider Name: ASPIRE INDIANA INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 15D2103980

Address:
9615 E 148TH ST
SUITE 1
NOBLESVILLE, IN
ZIP 46060
Phone: (317) 574-1254
Get Directions

ASPIRE INDIANA INC. is a mental health (including community mental health center) clinic center in Noblesville, IN. ASPIRE INDIANA INC. NPI is 1124016050. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9615 E 148TH ST
SUITE 1
NOBLESVILLE, IN
ZIP 46060-371
Phone: (317) 574-1254
Fax: (317) 674-0060

The provider's authorized official is Timothy D Crockett .
The authorized official title is Financial Officer and has the following contact phone number (317) 587-0505.

The CLIA number assigned to this NPI record is 15D2103980 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2005 and was last updated on 11/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	103TC0700X	Psychologist	Clinical	No
3	1041C0700X	Social Worker	Clinical	No
4	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	No
5	2084P0800X	Psychiatry & Neurology	Psychiatry	No
6	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	No
7	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	No
8	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
9	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
10	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	No
11	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100073590A	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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