BRANCHES OF LIFE FAMILY CONNECTIONS
NPI 1366680902
Counselor - Mental Health in Indianapolis, IN

NPI Status: Active since February 03, 2009

Contact Information

4954 E 56TH ST
#10
INDIANAPOLIS, IN
ZIP 46220
Phone: (317) 449-0334
Fax: (317) 536-1070

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  • Organization
  • Counselor
  • Mental Health

About BRANCHES OF LIFE FAMILY CONNECTIONS

This page provides the complete NPI Profile along with additional information for Branches Of Life Family Connections, a provider established in Indianapolis, Indiana operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1366680902 assigned on February 2009. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mrs. Shannon M Dickerson M.s (President/therapist)

NPI
1366680902
Provider Name
BRANCHES OF LIFE FAMILY CONNECTIONS
Entity Type
Organization
Location Address
4954 E 56TH ST #10 INDIANAPOLIS, IN 46220
Location Phone
(317) 449-0334
Location Fax
(317) 536-1070
Mailing Address
4954 E 56TH ST #10 INDIANAPOLIS, IN 46220
Mailing Phone
(317) 449-0334
Mailing Fax
(317) 536-1070
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-03-2009
Last Update Date
01-14-2010
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A mental health counselor like Branches Of Life Family Connections provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. SHANNON M DICKERSON M.S

Authorized Official Title
PRESIDENT/THERAPIST
Authorized Official Phone
(317) 446-4943

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366680902
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23126128090
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 2 + 8 + 0 + 9 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1366680902 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063724573BRANCHES OF LIFE TREATMENT FOSTER CARE INCORPORATED
Organization
Community/Behavioral Health4954 E 56TH ST SUITE 11
INDIANAPOLIS, IN 46220
(317) 513-8069
1306261722MR. ARONZO HOLLAND
Individual
Counselor4954 E 56TH ST 119
INDIANAPOLIS, IN 46220
(317) 694-5388
1639645518OLIVE BRANCH INC
Organization
Counselor (Mental Health)4954 E 56TH ST
INDIANAPOLIS, IN 46220
(317) 500-4266
1578225678 ANITA JEAN MACK
Individual
Social Worker4954 E 56TH ST
INDIANAPOLIS, IN 46220
(317) 500-4266
1669182085MCKINLEY ROUNDING PROVIDERS LLC
Organization
Nurse Practitioner (Adult Health)4954 E 56TH ST
INDIANAPOLIS, IN 46220
(800) 561-2078
1427516699 ERICA MACK-JACKSON
Individual
Marriage & Family Therapist4954 E 56TH ST
INDIANAPOLIS, IN 46220
(317) 500-4266

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366680902, enumerated in the NPI registry as an "organization" on February 03, 2009

The provider is located at 4954 E 56th St #10 Indianapolis, In 46220 and the phone number is (317) 449-0334

This medical organization specializes in Counselor with taxonomy code 101YM0800X with a focus in Mental Health

This NPI record was last updated on February 03, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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