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JENNIFER MICHELLE KINCAID-SHORES CADAC II, MAT, NCAC
NPI 1235599929
Counselor - Addiction (Substance Use Disorder) in Indianapolis, IN

Active since February 24, 2016
1481 W 10TH ST, INDIANAPOLIS, IN 46202(317) 554-0000 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2020, Feb 24, 2016 (2 updates tracked since 2016).

About Jennifer Michelle Kincaid-shores Cadac Ii, Mat, Ncac NPPES

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

JENNIFER MICHELLE KINCAID-SHORES CADAC II, MAT, NCAC (NPI 1235599929) is an individual addiction (substance use disorder) provider in Indianapolis, Indiana, licensed in Indiana (C2-5145) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1235599929
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJENNIFER MICHELLE KINCAID-SHORESCredential: CADAC II, MAT, NCAC
Location Address1481 W 10TH STIndianapolis, IN 46202-2803
Mailing Address1481 W 10th StIndianapolis, IN 46202-2803 · (317) 554-0000
Phone(317) 554-0000
Sole ProprietorNo
Enumeration DateFebruary 24, 2016
Last NPPES UpdateAugust 7, 20202 updates tracked since enumeration
NPPES CertifiedAugust 7, 2020
✔ NPI 1235599929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in IN · C2-5145
1481 W 10TH ST, Indianapolis, IN 46202
Open in Google Maps ↗

Other Identifiers 1

Medicaid35-1866298IN

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.

DR. SATISH KENCHAIAH MD, MPH
Internal Medicine (Cardiovascular Disease)
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 988-4989
JAMES ALEXIS LEYVA AU.D.
Audiologist
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 988-2233
JAMES DAVID MIDDLETON RD
Dietitian, Registered
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (765) 635-8310
STEPHEN MARK JOHNSON LCSW
Social Worker (Clinical)
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (812) 478-1803
AMANDA SWINEA
Recreation Therapist
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 544-8983
DEBORAH K SIEFERT NURSE PRACTITIONER
Registered Nurse
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 554-0181
SHAWN FAUVER FNP
Nurse Practitioner (Family)
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (313) 554-0000
PHYLLIS L ARTHUR
Registered Nurse (Ambulatory Care)
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 554-0000

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 Jennifer Kincaid-shores's NPI number?

The NPI number for Jennifer Kincaid-shores is 1235599929. It was assigned to this individual provider in the NPPES registry on February 24, 2016.

Where is Jennifer Kincaid-shores located?

Jennifer Kincaid-shores practices at 1481 W 10th St, Indianapolis, IN 46202. The listed phone number is (317) 554-0000.

What is Jennifer Kincaid-shores's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jennifer Kincaid-shores was last updated on August 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.