Healthcare Provider Details

I. General information

NPI: 1952457921
Provider Name (Legal Business Name): NUN KATHERINE K. WESTON MA, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KARANN C. WESTON MA, LMHC

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 10/24/2022
Certification Date: 10/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 N PENNSYLVANIA ST
INDIANAPOLIS IN
46202-1417
US

IV. Provider business mailing address

PO BOX 88442
INDIANAPOLIS IN
46208-0442
US

V. Phone/Fax

Practice location:
  • Phone: 317-691-6672
  • Fax: 844-380-2990
Mailing address:
  • Phone: 317-691-6672
  • Fax: 317-638-4163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39002315A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: