KODIAK COUNSELING LLC
NPI 1669250031
Community/Behavioral Health in Indianapolis, IN

Active since September 18, 2023
4954 E 56TH ST STE 2, INDIANAPOLIS, IN 46220(317) 758-7088 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kodiak Counseling Llc NPPES

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

KODIAK COUNSELING LLC (NPI 1669250031) is a healthcare organization registered as a community/behavioral health in Indianapolis, Indiana and active in the NPI registry since September 2023. The organization lists Mark Benjamin Pardue, Manager, as its authorized official.

NPPES Registry Identity

NPI1669250031
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameKODIAK COUNSELING LLC
Location Address4954 E 56TH ST STE 2Indianapolis, IN 46220-5769
Mailing Address9323 Hadway DrIndianapolis, IN 46256-1028 · (317) 758-7088
Organization SubpartNo
Authorized OfficialMark Benjamin PardueManager · (317) 758-7088
Enumeration DateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
NPI 1669250031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4954 E 56TH ST STE 2, Indianapolis, IN 46220

Other Providers at the Same Location NPPES 5

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

Social Worker (Clinical)
4954 E 56TH ST STE 2
INDIANAPOLIS, IN 46220
Social Worker (Clinical)
4954 E 56TH ST STE 2
INDIANAPOLIS, IN 46220
Counselor (Mental Health)
4954 E 56TH ST STE 2
INDIANAPOLIS, IN 46220
Counselor (Mental Health)
4954 E 56TH ST STE 2
INDIANAPOLIS, IN 46220
Social Worker (Clinical)
4954 E 56TH ST STE 2
INDIANAPOLIS, IN 46220

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 Kodiak Counseling LLC's NPI number?

The NPI number for Kodiak Counseling LLC is 1669250031. It was assigned to this organization in the NPPES registry on September 18, 2023.

Where is Kodiak Counseling LLC located?

Kodiak Counseling LLC is located at 4954 E 56th St Ste 2, Indianapolis, IN 46220. The listed phone number is (317) 758-7088.

What is Kodiak Counseling LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Kodiak Counseling LLC was last updated on September 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.