MEDICARE: MR. KERRY MINNIS LCSW, LMFT, LCAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	34000534A	IN
2	106H00000X	Marriage & Family Therapist	35000242A	IN
3	101YA0400X	Addiction (Substance Use Disorder) Counselor	87000437A	IN

General Provider Information

NPI Number	:	1487786935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KERRY MINNIS LCSW, LMFT, LCAC

Provider Business Mailing Address
First Line	:	10155 E THOMPSON RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46239-9350
Country	:	US
Telephone Number	:	317-862-1821
Fax Number	:

Provider Business Practice Location Address
First Line	:	610 E SOUTHPORT RD
Second Line	:	SUITE 100
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-8581
Country	:	US
Telephone Number	:	317-783-8477
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2007
Last Update Date	:	08/19/2013

Similar Medicare Providers

1386754018 — RANDALL PATEE LCSW
Practice Location Address:

1515 N POST ROAD
INDIANAPOLIS, IN
46219-8581

Practice Phone: 317-282-3088
Practice Fax:

1225678204 — MS. CASSANDRA L BARTLETT MSW, LCSW
Practice Location Address:

8320 MADISON AVE
INDIANAPOLIS, IN
46227-6066

Practice Phone: 317-882-5122
Practice Fax:

1083218101 — SHELBY RENEE PERRY NP
Practice Location Address:

1402 E COUNTY LINE RD STE 2400
INDIANAPOLIS, IN
46227-0963

Practice Phone: 317-887-7880
Practice Fax:

1023964038 — ALL PURPOSE TRANSIT LLC
Practice Location Address:

717 SOUTHFIELD CT
INDIANAPOLIS, IN
46227-1619

Practice Phone: 317-778-8121
Practice Fax:

1730036799 — STORM FLEMING LSW
Practice Location Address:

246 GRIFFIN RD
INDIANAPOLIS, IN
46227-2439

Practice Phone: 219-256-2143
Practice Fax:

1306793310 — KATHRYN TIRRO LCSW
Practice Location Address:

8320 MADISON AVE
INDIANAPOLIS, IN
46227-6066

Practice Phone: 317-882-5122
Practice Fax:

Directions to “ MR. KERRY MINNIS LCSW, LMFT, LCAC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.