Provider Demographics
NPI:1376748582
Name:STANGEL, JANE A (LMHC)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:A
Last Name:STANGEL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5660 CAITO DR
Mailing Address - Street 2:BLDG. 3- SUITE 120
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46226-1372
Mailing Address - Country:US
Mailing Address - Phone:317-775-8050
Mailing Address - Fax:317-377-3103
Practice Address - Street 1:5660 CAITO DR
Practice Address - Street 2:BLDG. 3- SUITE 120
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46226-1372
Practice Address - Country:US
Practice Address - Phone:317-554-5799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001722A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health