Healthcare Provider Details

I. General information

NPI: 1760784292
Provider Name (Legal Business Name): KERRIE BYRNES SIEGL LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KERRIE ERIN BYRNES LMFTA

II. Dates (important events)

Enumeration Date: 12/05/2010
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
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

13263 LANDWOOD DR
FISHERS IN
46037-8134
US

V. Phone/Fax

Practice location:
  • Phone: 317-459-5221
  • Fax:
Mailing address:
  • Phone: 317-459-5221
  • Fax: 317-300-7135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number35001788A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: