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NPI Code Detail

MEDICARE: COMPASSIONATE PATH COUNSELING SERVICES

MEDICARE: COMPASSIONATE PATH COUNSELING SERVICES
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
1261QM0850XAdult Mental Health Clinic/Center
2261QM0855XAdolescent and Children Mental Health Clinic/Center
3251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1568311520
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPASSIONATE PATH COUNSELING SERVICES
Provider Business Mailing Address
First Line : 11186 KNIGHTSBRIDGE LN
Second Line :
City : FISHERS
State : IN
Zip : 46037-9299
Country : US
Telephone Number : 317-457-6186
Fax Number :
Provider Business Practice Location Address
First Line : 10475 CROSSPOINT BLVD STE 250
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-3387
Country : US
Telephone Number : 317-210-3206
Fax Number :
Authorized Official
Title or Position : OWNER/THERAPIST
Name : SHANAE KELLEY
Credential : LCSW
Telephone Number : 317-457-6186
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “COMPASSIONATE PATH COUNSELING SERVICES ” Practice Location

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