INNOVATIVE BEHAVIORAL HEALTH (NPI# 1669719803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669719803 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE BEHAVIORAL HEALTH |
| Practice Address |
7855 S Emerson Ave Suite H Indianapolis IN 46237-8668 |
| Mailing Address |
5548 Painted Maple Ct Indianapolis IN 46254-9630 |
| Practice Telephone | 3179022205 |
| Practice Fax Number | 3173000422 |
| Mailing Telephone | 3179022205 |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2014-01-08 |
| Authorized Official Name | MS. KATHLEEN MARIE JOHANN (OWNER/THERAPIST) |
| Authorized Official Telephone | 3179022205 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34006255A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035051 | Innovative Behavioral Health | Case Management | 3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600 | 2020-08-28 |
| 1528417524 | Innovative Behavioral Health | Community/Behavioral Health | 10001 Lake Forest Blvd, Suite 607, New Orleans, LA 70127-6200 | 2016-06-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | INNOVATIVE BEHAVIORAL HEALTH CONSULTANTS, LLC | 7 Pheasant Lane, Norwalk, CT 06854 |
| Massachusetts Corporations | INNOVATIVE BEHAVIORAL HEALTH, LLC | 160 Commonwealth Avenue, Unit 3, Boston, MA 02116 |
| Indiana Business Entities | INNOVATIVE BEHAVIORAL HEALTH, LLC. | 5548 Painted Maple Ct, Indianapolis, IN 46254 |
| Street Address |
7855 S EMERSON AVE SUITE H |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-8668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932106523 | Michael T Cerefin | Chiropractor | 7855 S Emerson Ave, Ste Q, Indianapolis, IN 46237-8669 | 2005-06-28 |
| 1093293169 | Christian Jacob Carter | Chiropractor | 7855 S Emerson Ave, Ste Q, Indianapolis, IN 46237 | 2018-08-01 |
| 1942791389 | Alexi Scott | Physical Therapist | 7855 S Emerson Ave, Indianapolis, IN 46237-8668 | 2018-05-22 |
| 1841739778 | Adkins Health Care LLC | Internal Medicine | 7855 S Emerson Ave, Suite H, Indianapolis, IN 46237-8668 | 2017-02-12 |
| 1063951994 | Hull Health Care LLC | Internal Medicine | 7855 S Emerson Ave, Suite H, Indianapolis, IN 46237-8668 | 2017-02-12 |
| 1831633502 | James Legrand Md, LLC | Internal Medicine | 7855 S Emerson Ave, Suite H, Indianapolis, IN 46237-8668 | 2016-12-14 |
| 1447629969 | Kyle Nicholas Kurasz | Physician Assistant | 7855 S Emerson Ave, Suite P, Indianapolis, IN 46237-8668 | 2015-09-15 |
| 1760885313 | Reba Campbell | Massage Therapist | 7855 S Emerson Ave, Suite W, Indianapolis, IN 46237-8668 | 2014-09-26 |
| 1942627047 | Advanced Family Health and Lipidology | Family Medicine | 7855 S Emerson Ave, Suite H, Indianapolis, IN 46237-8668 | 2014-03-26 |
| 1336577733 | Johnstone Family Practice | Family Medicine | 7855 S Emerson Ave, Suite H, Indianapolis, IN 46237-8668 | 2013-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| Find all providers in zip 46237 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808886 | Joan Marie Witt | Social Worker | 205 E Hickory Ln, Indianapolis, IN 46227-2447 | 2020-10-13 |
| 1821695008 | Belinda Shelton Gamble | Social Worker | 9650 E Washington St Ste 245, Indianapolis, IN 46229-3032 | 2020-10-01 |
| 1225642234 | Charlotte Cox | Social Worker | 124 N Oriental St, Indianapolis, IN 46202-3842 | 2020-09-07 |
| 1477167641 | Laura Marie Lines | Social Worker | 9165 Otis Ave Ste 215, Indianapolis, IN 46216-2316 | 2020-09-03 |
| 1477167815 | Cydaria Lashon Cooke | Social Worker | 7909 Preservation Dr, Indianapolis, IN 46278-9553 | 2020-09-02 |
| 1790396760 | Restored Pieces LLC | Social Worker | 7210 Mars Dr, Indianapolis, IN 46241-3693 | 2020-08-13 |
| 1215546973 | Tammy M Skinner | Social Worker | 1633 N Capitol Ave # Mt301, Indianapolis, IN 46202-1261 | 2020-07-29 |
| 1922626092 | Heartland Healing Counseling Services | Social Worker | 2432 Conservatory Dr Fl 2, Indianapolis, IN 46203-3985 | 2020-07-06 |
| 1710504980 | Salma Mohiuddin | Social Worker | 3418 Bodelva Ln, Indianapolis, IN 46228-2894 | 2020-07-02 |
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
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| 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.