Provider Demographics
NPI:1073876074
Name:KAIN, JANET LYNN (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:LYNN
Last Name:KAIN
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1736 MAYNARD DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-5020
Mailing Address - Country:US
Mailing Address - Phone:317-506-2450
Mailing Address - Fax:
Practice Address - Street 1:6801 GRAY RD
Practice Address - Street 2:SUITE C
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-3263
Practice Address - Country:US
Practice Address - Phone:317-755-3378
Practice Address - Fax:317-755-3578
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39000323A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health