CONNIE'S CLUBHOUSE
NPI 1396634580
Counselor - Mental Health in Indianapolis, IN

Q: What is Connie's Clubhouse's NPI number?

The NPI number for Connie's Clubhouse is 1396634580. It was assigned to this organization in the NPPES registry on July 1, 2025. The provider is doing business as Connie's Clubhoues Inc.

Q: What is Connie's Clubhouse's specialty?

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

Active since July 01, 2025

5142 MADISON AVE STE 7, INDIANAPOLIS, IN 46227(435) 621-4153 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2026, Jul 3, 2025 (2 updates tracked since 2025).

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About Connie's Clubhouse NPPES

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

CONNIE'S CLUBHOUSE (NPI 1396634580), doing business as Connie's Clubhoues Inc, is a healthcare organization registered as a mental health in Indianapolis, Indiana and active in the NPI registry since July 2025. The organization lists Taylor Hines Miranda, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1396634580

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameCONNIE'S CLUBHOUSE

Location Address5142 MADISON AVE STE 7Indianapolis, IN 46227-4248

Mailing Address5142 Madison Ave Ste 7Indianapolis, IN 46227-4248 · (435) 621-4153

Phone(435) 621-4153

Organization SubpartNo

Authorized OfficialTaylor Hines MirandaExecutive Director · (435) 621-4153

Enumeration DateJuly 1, 2025

Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration

NPPES CertifiedMarch 19, 2026

✔ NPI 1396634580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

Also ListedClinic/CenterTaxonomy 261Q00000X

Also ListedAssisted Living Facility · Assisted Living, Behavioral DisturbancesTaxonomy 3104A0630X

Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X

Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X

5142 MADISON AVE STE 7, Indianapolis, IN 46227

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Other Names 1

Doing Business AsConnie's Clubhoues Inc

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 Connie's Clubhouse's NPI number?

The NPI number for Connie's Clubhouse is 1396634580. It was assigned to this organization in the NPPES registry on July 1, 2025. The provider is doing business as Connie's Clubhoues Inc.

Where is Connie's Clubhouse located?

Connie's Clubhouse is located at 5142 Madison Ave Ste 7, Indianapolis, IN 46227. The listed phone number is (435) 621-4153.

What is Connie's Clubhouse's specialty?

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

When was this NPI record last updated?

The NPPES record for Connie's Clubhouse was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.