ORIGINS FAMILY COUNSELING LLC NPI 1275075475

NPI Information

NPI: 1275075475
Provider Name: ORIGINS FAMILY COUNSELING, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
18 E MAIN ST STE 216
GREENFIELD, IN
ZIP 46140
Phone: (176) 493-4311
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ORIGINS FAMILY COUNSELING, LLC is a mental health (including community mental health center) clinic center in Greenfield, IN. ORIGINS FAMILY COUNSELING, LLC NPI is 1275075475. The provider is registered as an organization entity type.

The provider's business location address is:

18 E MAIN ST STE 216
GREENFIELD, IN
ZIP 46140-541
Phone: (176) 493-4311
Fax: (317) 649-4375

The provider's authorized official is Kristina M Graber .
The authorized official title is Owner and has the following contact phone number (317) 649-4311.

The enumeration date for this NPI number is 11/6/2016 and was last updated on 2/19/2024.

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
1	251S00000X	Community/Behavioral Health		35001907A	INDIANA	No
2	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	300044207	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: 4/28/2024

NPI Synchronization or Removal

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