Healthcare Provider Details

I. General information

NPI: 1043128135
Provider Name (Legal Business Name): HANNAH GRACE KRODEL LMHC, ATR-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 WINSLET BLVD APT 3B
INDIANAPOLIS IN
46217-9464
US

IV. Provider business mailing address

7101 WINSLET BLVD APT 3B
INDIANAPOLIS IN
46217-9464
US

V. Phone/Fax

Practice location:
  • Phone: 317-412-6338
  • Fax:
Mailing address:
  • Phone: 317-412-6338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39006170A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: