| American Behavioral Counseling | |
|
1515 N Post Rd Ste A Indianapolis IN 46219-4213 | |
| (317) 282-3088 | |
| (317) 295-2555 |
| Full Name | American Behavioral Counseling |
|---|---|
| Speciality | Counselor |
| Location | 1515 N Post Rd Ste A, Indianapolis, Indiana |
| Authorized Official Name and Position | Mary Jamia Jacobsen (PRESIDENT) |
| Authorized Official Contact | 3172823088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Behavioral Counseling 1515 N Post Rd Ste A Indianapolis IN 46219-4213 Ph: (317) 282-3088 | American Behavioral Counseling 1515 N Post Rd Ste A Indianapolis IN 46219-4213 Ph: (317) 282-3088 |
| NPI Number | 1821548777 |
|---|---|
| Provider Enumeration Date | 10/04/2016 |
| Last Update Date | 05/31/2024 |
| Certification Date | 05/31/2024 |
| Medicare PECOS PAC ID | 1850679002 |
|---|---|
| Medicare Enrollment ID | O20161024001051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821548777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000971A (Indiana) | Primary |
| 1041C0700X | Social Worker - Clinical | 34002287A (Indiana) | Secondary |
| Provider Name | Paul S Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851300354 PECOS PAC ID: 7810026911 Enrollment ID: I20100528000166 |
| Provider Name | Randall Patee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386754018 PECOS PAC ID: 3577791383 Enrollment ID: I20140123001921 |
| Provider Name | Mary J Jacobsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356629414 PECOS PAC ID: 4385814755 Enrollment ID: I20160502000446 |
| Provider Name | Diana Lynn Clarke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598377988 PECOS PAC ID: 8426491762 Enrollment ID: I20240203000416 |
| Provider Name | Nathaniel Hickman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639927460 PECOS PAC ID: 5395287890 Enrollment ID: I20240612002263 |
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