MEDICARE: NRARH INDY LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	104100000X	Social Worker
3	251S00000X	Community/Behavioral Health Agency
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
5	1041C0700X	Clinical Social Worker
6	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1659133874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NRARH INDY LLC

Provider Business Mailing Address
First Line	:	7002 GRAHAM RD STE 223
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-4050
Country	:	US
Telephone Number	:	317-563-1117
Fax Number	:	317-608-3436

Provider Business Practice Location Address
First Line	:	7002 GRAHAM RD STE 223
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-4050
Country	:	US
Telephone Number	:	317-563-1117
Fax Number	:	317-608-3436

Authorized Official
Title or Position	:	THERAPIST/OWNER
Name	:	CHANTEL WHITE
Credential	:	LCSW
Telephone Number	:	765-702-4111

Provider Enumeration Date	:	01/24/2024
Last Update Date	:	01/07/2026

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