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180 ENTERPRISE
NPI 1619564549
Counselor - Addiction (Substance Use Disorder) in Indianapolis, IN

Active since December 27, 2020
3430 CORK BEND DR, INDIANAPOLIS, IN 46239(317) 966-7772 Get Directions Write a Review

NPPES record last updated: December 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 180 Enterprise NPPES

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

180 ENTERPRISE (NPI 1619564549) is a healthcare organization registered as an addiction (substance use disorder) in Indianapolis, Indiana and active in the NPI registry since December 2020. The organization lists Kimtoiya Sam, Owner, as its authorized official.

NPPES Registry Identity

NPI1619564549
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business Name180 ENTERPRISE
Location Address3430 CORK BEND DRIndianapolis, IN 46239-7669
Mailing Address3430 Cork Bend DrIndianapolis, IN 46239-7669 · (317) 966-7772
Phone(317) 966-7772
Organization SubpartNo
Authorized OfficialKimtoiya SamOwner · (317) 966-7772
Enumeration DateDecember 27, 2020
NPPES CertifiedDecember 27, 2020
✔ NPI 1619564549 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
3430 CORK BEND DR, Indianapolis, IN 46239
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

KIMTOIYA ONEAL SAM LCAC
Counselor (Addiction (Substance Use Disorder))
3430 CORK BEND DR
INDIANAPOLIS, IN 46239
Marion County (317) 966-7772
INTEGRATED MENTAL HEALTH AND ADDICTION TREATMENT SERVICES
Counselor (Addiction (Substance Use Disorder))
3430 CORK BEND DR
INDIANAPOLIS, IN 46239
Marion County (317) 966-7772

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 180 Enterprise's NPI number?

The NPI number for 180 Enterprise is 1619564549. It was assigned to this organization in the NPPES registry on December 27, 2020.

Where is 180 Enterprise located?

180 Enterprise is located at 3430 Cork Bend Dr, Indianapolis, IN 46239. The listed phone number is (317) 966-7772.

What is 180 Enterprise'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 180 Enterprise was last updated on December 27, 2020. 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.