MR. KERRY MINNIS LCSW, LMFT, LCAC
NPI 1487786935
Social Worker - Clinical in Indianapolis, IN

Active since March 11, 2007
610 E SOUTHPORT RD, SUITE 100, INDIANAPOLIS, IN 46227(317) 783-8477 Get Directions Write a Review

NPPES record last updated: August 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kerry Minnis Lcsw, Lmft, Lcac NPPES

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

MR. KERRY MINNIS LCSW, LMFT, LCAC (NPI 1487786935) is an individual clinical provider in Indianapolis, Indiana, licensed in Indiana (34000534A) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1487786935
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KERRY MINNISCredential: LCSW, LMFT, LCAC
Location Address610 E SOUTHPORT RD, SUITE 100Indianapolis, IN 46227-8581
Mailing Address10155 E Thompson RdIndianapolis, IN 46239-9350 · (317) 862-1821
Sole ProprietorNo
Enumeration DateMarch 11, 2007
Last NPPES UpdateAugust 19, 2013
NPI 1487786935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IN · 34000534A
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 87000437A (IN)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 35000242A (IN)
610 E SOUTHPORT RD, Indianapolis, IN 46227

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner
610 E SOUTHPORT RD, SUITE 200
INDIANAPOLIS, IN 46227
Psychologist (Clinical Child & Adolescent)
610 E SOUTHPORT RD, SUITE 100
INDIANAPOLIS, IN 46227
Psychiatry & Neurology (Psychiatry)
610 E SOUTHPORT RD, SUITE 200
INDIANAPOLIS, IN 46227
Psychiatry & Neurology (Psychiatry)
610 E SOUTHPORT RD, STE 200
INDIANAPOLIS, IN 46227
General Acute Care Hospital
610 E SOUTHPORT RD, SUITE 100
INDIANAPOLIS, IN 46227
Counselor (Mental Health)
610 E SOUTHPORT RD, SUITE 100
INDIANAPOLIS, IN 46227
Family Medicine
610 E SOUTHPORT RD, SUITE 205
INDIANAPOLIS, IN 46227
Counselor (Mental Health)
610 E SOUTHPORT RD, SUITE 100
INDIANAPOLIS, IN 46227

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 Kerry Minnis's NPI number?

The NPI number for Kerry Minnis is 1487786935. It was assigned to this individual provider in the NPPES registry on March 11, 2007.

Where is Kerry Minnis located?

Kerry Minnis practices at 610 E Southport Rd Suite 100, Indianapolis, IN 46227. The listed phone number is (317) 783-8477.

What is Kerry Minnis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kerry Minnis was last updated on August 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.