WISHKIDS INTERNATIONAL (NPI# 1407862824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407862824 |
| Entity Type | Organization |
| Organization Name | WISHKIDS INTERNATIONAL |
| Other Organization Name | WISH THERAPEUTIC SERVICES (WTS) |
| Practice Address |
754 N Sherman Dr Suite 205 Indianapolis IN 46201-2575 |
| Mailing Address |
4409 Eagle Creek Pkwy Apt 103 Indianapolis IN 46254-4326 |
| Practice Telephone | 3172959441 |
| Practice Fax Number | 3172959441 |
| Mailing Telephone | 3172959441 |
| Mailing Fax Number | 3172959441 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PHILLIP MAZORODZE (PRESIDENT) |
| Authorized Official Telephone | 317-295 9441 |
| Authorized Official Credential | BEHAVIOR CORDINA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | IN | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Wish Therapeutic Services (WTS) | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568501567 | Wishkids International | Specialist | 6825 Parkdale Place, Suite C, Indianapolis, IN 46254 | 2007-02-06 |
| Street Address |
754 N SHERMAN DR SUITE 205 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46201-2575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457876575 | Alyssia Hawthorne | Contractor | 810 N Bosart, Indianapolis, IN 46201 | 2017-08-09 |
| 1710221833 | Candace D Clayton | Specialist/Technologist | 1500 E. Michigan St, Arsenal Tech West Gym Atr, Indianapolis, IN 46201 | 2012-11-15 |
| 1427211739 | Vanessa Antonie Flora | Physical Therapist | 1001 W 10th Street, Indianapolis, IN 46201 | 2008-07-07 |
| 1194993642 | Steve C. Linville | Counselor | 5049 E. 11th Street, Indianapolis, IN 46201 | 2008-02-19 |
| 1336355023 | Brenda Gay Barker | Family Medicine | 11 N Eastern Avenue, Good Samaritan Health Clinic, Indianapolis, IN 46201 | 2007-05-16 |
| 1447541347 | Kimberly Denise Wolfe | Registered Nurse | 1776 Brookside Ave, Indianapolis, IN 46201-1018 | 2011-04-26 |
| 1235645318 | Armaryllis Y Lewis | Counselor | 1402 Commerce Ave, Indianapolis, IN 46201-1141 | 2017-12-27 |
| 1184160608 | Sarah Ann Battista | Registered Nurse | 1250 N State Ave, Indianapolis, IN 46201-1162 | 2017-01-07 |
| 1821330234 | Kindra Marie Hunckler | Doula | 1115 N Tacoma Ave, Indianapolis, IN 46201-1334 | 2013-03-24 |
| 1497279897 | Timothy Barnes | Respite Care | 1406 N Dearborn St, Indianapolis, IN 46201-1412 | 2017-07-28 |
| Find all providers in zip 46201 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366068181 | Vashni Ray | Counselor | 4346 Wild Turkey Dr, Indianapolis, IN 46239-8104 | 2020-06-17 |
| 1285250043 | Lajuan Brown | Counselor | 8752 Malaga Dr Apt 2b, Indianapolis, IN 46250-3297 | 2020-06-17 |
| 1518590132 | Kathryn Sullivan Evans | Counselor | 8126 Meadowbrook Dr, Indianapolis, IN 46240-2600 | 2020-02-21 |
| 1912530361 | Infinite Shield, LLC | Counselor | 5726 Michigan Rd, Indianapolis, IN 46228-1729 | 2020-02-13 |
| 1669002945 | Indiana Guide Right Foundation, Inc. | Counselor | 3540 Commercial Dr, Indianapolis, IN 46222-1678 | 2020-01-25 |
| 1881245603 | Mary Salem Gregory | Counselor | 1405 Wind Castle Trl, Indianapolis, IN 46280-2726 | 2019-09-23 |
| 1346700945 | Lindsay Kusy | Counselor | 1602 Guildhall Ct, Indianapolis, IN 46260-1562 | 2019-03-21 |
| 1679044531 | Denise Kasandra Hardin | Counselor | 5699 E 71st St Ste 4a, Indianapolis, IN 46220-3968 | 2018-12-17 |
| 1134604853 | Sarah M Lehman | Counselor | 1138 N Rochester Ave, Indianapolis, IN 46222-2943 | 2018-09-27 |
| 1629553516 | Brettany Ervin | Counselor | 115 N Pennsylvania St Unit 401, Indianapolis, IN 46204-2418 | 2018-09-26 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46201 |
Please comment or provide details below to improve the information on WISHKIDS INTERNATIONAL.
| 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.