Healthcare Provider Details

I. General information

NPI: 1558298927
Provider Name (Legal Business Name): KELLY CREMER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8626 E 116TH ST STE 200
FISHERS IN
46038-2853
US

IV. Provider business mailing address

8626 E 116TH ST STE 200
FISHERS IN
46038-2853
US

V. Phone/Fax

Practice location:
  • Phone: 317-763-0767
  • Fax:
Mailing address:
  • Phone: 317-763-0767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39005897A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: