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1497157879

NPI Code Detail

MEDICARE: FAMILIES FIRST INDIANA, INC.

MEDICARE: FAMILIES FIRST INDIANA, INC.

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	101Y00000X	Counselor	34006866A	IN
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	101YM0800X	Mental Health Counselor
4	101YP2500X	Professional Counselor
5	104100000X	Social Worker
6	1041C0700X	Clinical Social Worker
7	1041S0200X	School Social Worker
8	106H00000X	Marriage & Family Therapist
9	2084P0804X	Child & Adolescent Psychiatry Physician
10	2084P0800X	Psychiatry Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9537289	OTHER	IN	MULTIPLAN
2	198387	OTHER	IN	ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497157879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILIES FIRST INDIANA, INC.

Provider Business Mailing Address
First Line	:	2240 N MERIDIAN ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-5728
Country	:	US
Telephone Number	:	317-634-6341
Fax Number	:	317-464-9575

Provider Business Practice Location Address
First Line	:	2240 N MERIDIAN ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-5728
Country	:	US
Telephone Number	:	317-634-6341
Fax Number	:	317-464-9575

Authorized Official
Title or Position	:	QI/QA AND TRAINING DIRECTOR
Name	:	MS. MEGAN MCNEAL
Credential	:
Telephone Number	:	317-644-7226

Provider Enumeration Date	:	09/17/2014
Last Update Date	:	03/04/2019

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Directions to “FAMILIES FIRST INDIANA, INC. ” 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.

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