Healthcare Provider Details

I. General information

NPI: 1427987916
Provider Name (Legal Business Name): MELISSA JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7941 CASTLEWAY DR
INDIANAPOLIS IN
46250-1953
US

IV. Provider business mailing address

7941 CASTLEWAY DR
INDIANAPOLIS IN
46250-1953
US

V. Phone/Fax

Practice location:
  • Phone: 317-600-5402
  • Fax: 317-600-5402
Mailing address:
  • Phone: 317-600-5402
  • Fax: 317-600-5402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: