MRS. TYANNE LANEE CLANCY LMHC NPI 1154531069

NPI Information

  • NPI: 1154531069
  • Provider Name: MRS. TYANNE LANEE CLANCY, LMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1500 N RITTER AVE
    INDIANAPOLIS, IN
    ZIP 46219
  • Phone: (317) 621-7561

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NPI Details

MRS. Tyanne Lanee Clancy, LMHC is a mental health counselor in Indianapolis, IN with 20 years of experience. MRS. Tyanne Lanee Clancy, LMHC NPI is 1154531069. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1500 N RITTER AVE
INDIANAPOLIS, IN
ZIP 46219-027
Phone: (317) 621-7561
Fax: (317) 355-6983

The NPI 1154531069 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 12/2/2020.

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 License Number License State Primary
1101YM0800XCounselorMental HealthNo
2101YM0800XCounselorMental Health39002335AINDIANAYes

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
1200540570MEDICAIDINDIANA

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: 11/21/2025

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