1689003329 NPI number — MRS. KRISTY ENGLERT MCNAMEE LMHC

Table of content: MRS. KRISTY ENGLERT MCNAMEE LMHC (NPI 1689003329)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689003329 NPI number — MRS. KRISTY ENGLERT MCNAMEE LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCNAMEE
Provider First Name:
KRISTY
Provider Middle Name:
ENGLERT
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ENGLERT
Provider Other First Name:
KRISTY
Provider Other Middle Name:
DIANE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1689003329
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/17/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11495 PENNSYLVANIA ST STE 126
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CARMEL
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46032-6804
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-643-3775
Provider Business Mailing Address Fax Number:
317-663-2927

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11495 PENNSYLVANIA ST STE 126
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARMEL
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46032-6804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-643-3775
Provider Business Practice Location Address Fax Number:
317-663-2927
Provider Enumeration Date:
11/04/2013

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:  39001498A , 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)





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