KENYETTA NEAL (NPI# 1164943056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164943056 |
| Entity Type | Individual |
| Full Name | KENYETTA NEAL |
| Credential | LCAC |
| Practice Address |
1811 Executive Dr Indianapolis IN 46241-4300 |
| Mailing Address |
60 Sycamore St Brownsburg IN 46112-1802 |
| Practice Telephone | 3177352046 |
| Mailing Telephone | 7089559685 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
87001500A | IN | Behavioral Health & Social Service Providers |
| Street Address |
1811 EXECUTIVE DR |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46241-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902803745 | Accustat Medical Lab, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1811 Executive Dr, Suite F, Indianapolis, IN 46241-4300 | 2005-07-07 |
| 1811447311 | Rhino Contractor Services LLC | Durable Medical Equipment & Medical Supplies | 1811 Executive Dr, Suite H, Indianapolis, IN 46241-4300 | 2016-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062511 | Indy Medical Trans LLC | Non-emergency Medical Transport (VAN) | 4948 W Washington St, Indianapolis, IN 46241 | 2020-10-29 |
| 1760081525 | After Action Medical and Dental Supply, LLC | Durable Medical Equipment & Medical Supplies | 4444 Decatur Blvd., Suite 100, Indianapolis, IN 46241 | 2020-10-22 |
| 1659841880 | Dependency Medical Holdings Corporation | Family Medicine | 5600 W Bradbury Ave, Indianapolis, IN 46241 | 2018-11-30 |
| 1255872073 | Phoenix Family and Community Services, LLC | Case Management | 2346 S. Lynhurst Dr. Suite 601, Indianapolis, IN 46241 | 2017-03-13 |
| 1811022114 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 6920 Gatwick Drive, Suite 100, Indianapolis, IN 46241 | 2007-02-23 |
| 1912073107 | Kathryn Charlotte Gregor | Occupational Therapy Assistant | 5603 W Raymond St, Indianapolis, IN 46241 | 2006-11-28 |
| 1184790347 | Sandee Jo Schultheis | Physical Therapy Assistant | 5603 West Raymond St, Suite A, Indianapolis, IN 46241 | 2006-11-28 |
| 1346899077 | Lori Heusel | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-09-05 |
| 1720632227 | Nicole Anne Murphy | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-08-01 |
| 1073173209 | Kaylee Posson | Social Worker | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-06-19 |
| Find all providers in zip 46241 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828922 | Yvette Markey | Counselor | 1001 Eugene St, Indianapolis, IN 46208-4930 | 2020-10-13 |
| 1982216917 | A Safe Home LLC | Counselor | 6201 La Pas Trl Ste 170, Indianapolis, IN 46268-2573 | 2020-08-20 |
| 1295378941 | Adriaka Tina Jackson | Counselor | 5868 E 71st St Ste E-630, Indianapolis, IN 46220-4075 | 2019-10-25 |
| 1356991434 | Kimberly Curry | Counselor | 506 W 26th St, Indianapolis, IN 46208-5518 | 2019-09-19 |
| 1154976546 | Carmen Kennedy | Counselor | 4710 E 30th St, Indianapolis, IN 46218-3109 | 2019-08-02 |
| 1487208930 | Darryl K Webster | Counselor | 4901 E. 31st Street, Indianapolis, IN 46218 | 2019-08-01 |
| 1780238238 | Rhonda Y. Battles | Counselor | 1775 N Sherman Dr Suite A, Indianapolis, IN 46218 | 2019-08-01 |
| 1154983583 | Ava Richardson | Counselor | 4072 Sawyer St, Indianapolis, IN 46226-4953 | 2019-07-05 |
| 1912461823 | Experience, Strength, Hope, LLC. | Counselor | 4954 E 56th St Ste 8, Indianapolis, IN 46220-5769 | 2019-01-24 |
| 1407322076 | Progress House, Inc. | Counselor | 201 Shelby St, Indianapolis, IN 46202-3943 | 2018-10-22 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46241 |
Please comment or provide details below to improve the information on KENYETTA NEAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.