1932215878 NPI number — MS. AMELIA K BARNES LMHC MA MPT

Table of content: MS. AMELIA K BARNES LMHC MA MPT (NPI 1932215878)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932215878 NPI number — MS. AMELIA K BARNES LMHC MA MPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARNES
Provider First Name:
AMELIA
Provider Middle Name:
K
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMHC MA MPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BARNES
Provider Other First Name:
AMY
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMHC MA MPT
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1932215878
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8395 KEYSTONE CROSSING
Provider Second Line Business Mailing Address:
STE 306
Provider Business Mailing Address City Name:
INDIANAPOLIS
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46240
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-257-7544
Provider Business Mailing Address Fax Number:
317-257-7443

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8395 KEYSTONE CROSSING
Provider Second Line Business Practice Location Address:
STE 306
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-257-7544
Provider Business Practice Location Address Fax Number:
317-257-7443
Provider Enumeration Date:
08/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  39000294A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com