1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Counselor
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAZMYNE TIDWELL LMHC
NPI 1003799669
Counselor - Mental Health in Indianapolis, IN

Active since July 30, 2025PECOS Enrolled
2506 WILLOWBROOK PKWY STE 300, INDIANAPOLIS, IN 46205(317) 574-1254(317) 674-0060 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2026, Aug 5, 2026, Apr 2, 2026 and 1 more (4 updates tracked since 2025).

About Jazmyne Tidwell Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAZMYNE TIDWELL LMHC (NPI 1003799669) is an individual mental health provider in Indianapolis, Indiana, licensed in Indiana (39005576A) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003799669
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJAZMYNE TIDWELLCredential: LMHC
Location Address2506 WILLOWBROOK PKWY STE 300Indianapolis, IN 46205-1500
Mailing Address697 Pro Med LnCarmel, IN 46032-5323 · (317) 574-1254 · Fax (317) 674-0060
Phone(317) 574-1254
Fax(317) 674-0060
Sole ProprietorNo
Enumeration DateJuly 30, 2025
Last NPPES UpdateOctober 7, 20264 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1003799669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 39005576A
2506 WILLOWBROOK PKWY STE 300, Indianapolis, IN 46205
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jazmyne Tidwell Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jazmyne Tidwell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aspire Indiana Health Inc
Same address
Federally Qualified Health Center (FQHC)
2506 WILLOWBROOK PKWY STE 300
Indianapolis, IN 46205
  • Reassigned Medicare billing, Indiana enrollment
  • 204 clinicians in this Medicare group
NPI 1033628953 (317) 574-1254
Aspire Indiana Inc.
9.8 mi
Mental Health (Including Community Mental Health Center)
697 PRO MED LN
Carmel, IN 46032
  • Reassigned Medicare billing, Indiana enrollment
  • 187 clinicians in this Medicare group
NPI 1124016050 (317) 574-1254

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS STEPHANIE DIANE SANCHEZ MSW, LCSW
Social Worker (Clinical)
2506 WILLOWBROOK PKWY STE 300
INDIANAPOLIS, IN 46205
Marion County (317) 574-1254
JILLIAN CONDON NP
Nurse Practitioner (Psychiatric/Mental Health)
2506 WILLOWBROOK PKWY STE 300
INDIANAPOLIS, IN 46205
Marion County (317) 574-1254
ASPIRE INDIANA HEALTH INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2506 WILLOWBROOK PKWY STE 300
INDIANAPOLIS, IN 46205
Marion County (317) 574-1254
MELINDA MALHER-MORAN LMHC
Counselor (Professional)
2506 WILLOWBROOK PKWY STE 300
INDIANAPOLIS, IN 46205
Marion County (317) 574-1254
CHRISTINA LEE
Social Worker (Clinical)
2506 WILLOWBROOK PKWY STE 300
INDIANAPOLIS, IN 46205
Marion County (317) 574-1254
KEVIN MINNICK LMHC
Counselor (Mental Health)
2506 WILLOWBROOK PKWY STE 300
INDIANAPOLIS, IN 46205
Marion County (317) 574-1254
MR. HERBERT TAFADZKIA ZINZOMBE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2506 WILLOWBROOK PKWY STE 300
INDIANAPOLIS, IN 46205
Marion County (317) 574-1254
RICHARD SKIRVIN LCSW
Social Worker (Clinical)
2506 WILLOWBROOK PKWY STE 300
INDIANAPOLIS, IN 46205
Marion County (317) 574-1254

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jazmyne Tidwell's NPI number?

The NPI number for Jazmyne Tidwell is 1003799669. It was assigned to this individual provider in the NPPES registry on July 30, 2025.

Where is Jazmyne Tidwell located?

Jazmyne Tidwell practices at 2506 Willowbrook Pkwy Ste 300, Indianapolis, IN 46205. The listed phone number is (317) 574-1254.

What is Jazmyne Tidwell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jazmyne Tidwell enrolled in Medicare?

Yes. Jazmyne Tidwell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jazmyne Tidwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jazmyne Tidwell reassigns Medicare benefits to 2 organizations: Aspire Indiana Health Inc (Indianapolis, IN) and Aspire Indiana Inc. (Carmel, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jazmyne Tidwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jazmyne Tidwell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Jazmyne Tidwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jazmyne Tidwell was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.