AZAR NIKRAVESH
NPI 1861777336
Counselor - Addiction (Substance Use Disorder) in Bloomington, IN

Active since October 17, 2011
600 N JORDAN AVE, BLOOMINGTON, IN 47405(812) 855-7338 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Azar Nikravesh NPPES

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

AZAR NIKRAVESH (NPI 1861777336) is an individual addiction (substance use disorder) provider in Bloomington, Indiana and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1861777336
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameAZAR NIKRAVESH
Location Address600 N JORDAN AVEBloomington, IN 47405-3190
Mailing Address600 N Jordan AveBloomington, IN 47405-3190 · (812) 855-7338
Sole ProprietorNo
Enumeration DateOctober 17, 2011
NPI 1861777336 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
600 N JORDAN AVE, Bloomington, IN 47405

Other Providers at the Same Location NPPES 20

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

Psychologist (Clinical)
600 N JORDAN AVE
BLOOMINGTON, IN 47405
Mechanotherapist
600 N JORDAN AVE
BLOOMINGTON, IN 47405
Physician Assistant (Medical)
600 N JORDAN AVE
BLOOMINGTON, IN 47405
Family Medicine
600 N JORDAN AVE
BLOOMINGTON, IN 47405
Student in an Organized Health Care Education/Training Program
600 N JORDAN AVE
BLOOMINGTON, IN 47405
Dietitian, Registered
600 N JORDAN AVE
BLOOMINGTON, IN 47405
Counselor
600 N JORDAN AVE
BLOOMINGTON, IN 47405
Family Medicine
600 N JORDAN AVE
BLOOMINGTON, IN 47405

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 Azar Nikravesh's NPI number?

The NPI number for Azar Nikravesh is 1861777336. It was assigned to this individual provider in the NPPES registry on October 17, 2011.

Where is Azar Nikravesh located?

Azar Nikravesh practices at 600 N Jordan Ave, Bloomington, IN 47405. The listed phone number is (812) 855-7338.

What is Azar Nikravesh'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 Azar Nikravesh was last updated on October 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.