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AMDAWAY IBRAHIM LCSW
NPI 1366067159
Counselor - Mental Health in Indianapolis, IN

Active since June 08, 2020PECOS Enrolled
9165 OTIS AVE, STE 227, INDIANAPOLIS, IN 46216(317) 207-7010 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2021, May 21, 2021, Jun 8, 2020 (3 updates tracked since 2020).

About Amdaway Ibrahim Lcsw NPPES

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

AMDAWAY IBRAHIM LCSW (NPI 1366067159) is an individual mental health provider in Indianapolis, Indiana and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1366067159
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameAMDAWAY IBRAHIMCredential: LCSW
Location Address9165 OTIS AVE, STE 227Indianapolis, IN 46216-2318
Mailing Address9165 Otis Ave Ste 227Indianapolis, IN 46216-2318 · (317) 207-7010
Phone(317) 207-7010
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJune 8, 2020
Last NPPES UpdateJuly 1, 20213 updates tracked since enumeration
NPPES CertifiedJuly 1, 2021
✔ NPI 1366067159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
9165 OTIS AVE, Indianapolis, IN 46216
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amdaway Ibrahim Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941602346
PECOS Enrollment IDI20210707003769
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.

Other Providers at the Same Location NPPES 9

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

SEVEN SERNE HOME HEALTH CARE INC
In Home Supportive Care
9165 OTIS AVE
INDIANAPOLIS, IN 46216
Marion County (463) 302-0217
MS. DANIELLE MCVEA
Contractor
9165 OTIS AVE
INDIANAPOLIS, IN 46216
Marion County (317) 922-2900
HELPING HANDS AUTISM BEHAVIORAL CENTER
Counselor (Mental Health)
9165 OTIS AVE
INDIANAPOLIS, IN 46216
Marion County (630) 452-2253
DENISE EXFORD
Home Health
9165 OTIS AVE, 236-3
INDIANAPOLIS, IN 46216
Marion County (317) 448-7433
THE ALTRUIST GROUP, LLC
Day Training, Developmentally Disabled Services
9165 OTIS AVE, SUITE 235
INDIANAPOLIS, IN 46216
Marion County (317) 547-3041
PALMS CLEANING INC
In Home Supportive Care
9165 OTIS AVE, SUITE 213
INDIANAPOLIS, IN 46216
Marion County (317) 941-9220
EXTRAORDINARY NURSES LLC
In Home Supportive Care
9165 OTIS AVE
INDIANAPOLIS, IN 46216
Marion County (317) 943-1661
SPRINGHEALTH INTEGRATED CARE, INC.
Community/Behavioral Health
9165 OTIS AVE
INDIANAPOLIS, IN 46216
Marion County (888) 515-1793

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 Amdaway Ibrahim's NPI number?

The NPI number for Amdaway Ibrahim is 1366067159. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Where is Amdaway Ibrahim located?

Amdaway Ibrahim practices at 9165 Otis Ave Ste 227, Indianapolis, IN 46216. The listed phone number is (317) 207-7010.

What is Amdaway Ibrahim's specialty?

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

Is Amdaway Ibrahim enrolled in Medicare?

Yes. Amdaway Ibrahim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amdaway Ibrahim was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.