Healthcare Provider Details

I. General information

NPI: 1568311520
Provider Name (Legal Business Name): COMPASSIONATE PATH COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2026
Last Update Date: 01/23/2026
Certification Date: 01/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10475 CROSSPOINT BLVD STE 250
INDIANAPOLIS IN
46256-3387
US

IV. Provider business mailing address

11186 KNIGHTSBRIDGE LN
FISHERS IN
46037-9299
US

V. Phone/Fax

Practice location:
  • Phone: 317-210-3206
  • Fax:
Mailing address:
  • Phone: 317-457-6186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHANAE KELLEY
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 317-457-6186