Jennifer Michelle Kincaid-shores, CADAC II, MAT, NCAC - Counselor in Indianapolis, IN

Jennifer Michelle Kincaid-shores, CADAC II, MAT, NCAC is a Counselor - Addiction (substance Use Disorder) based in Indianapolis, Indiana. Jennifer Michelle Kincaid-shores is licensed to practice in Indiana (license number C2-5145) and her current practice location is 1481 W 10th St, Indianapolis, Indiana. She can be reached at her office (for appointments etc.) via phone at (317) 554-0000.

NPI number for Jennifer Michelle Kincaid-shores is 1235599929 and her current mailing address is 1481 W 10th St, Indianapolis, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235599929.

Contact Information

Jennifer Michelle Kincaid-shores, CADAC II, MAT, NCAC
1481 W 10th St,
Indianapolis, IN 46202-2803
(317) 554-0000
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJennifer Michelle Kincaid-shores
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1481 W 10th St, Indianapolis, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235599929
  • Provider Enumeration Date: 02/24/2016
  • Last Update Date: 08/07/2020

Medical Identifiers

Medical identifiers for Jennifer Michelle Kincaid-shores such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235599929NPI-NPPES
35-1866298MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) C2-5145 (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Michelle Kincaid-shores is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Michelle Kincaid-shores, CADAC II, MAT, NCAC
1481 W 10th St,
Indianapolis, IN 46202-2803

Ph: (317) 554-0000
Jennifer Michelle Kincaid-shores, CADAC II, MAT, NCAC
1481 W 10th St,
Indianapolis, IN 46202-2803

Ph: (317) 554-0000

Reviews and Comments


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