Provider Demographics
NPI:1467956201
Name:GERTH COUNSELING
Entity Type:Organization
Organization Name:GERTH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GERTH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:317-412-4165
Mailing Address - Street 1:386 MERIDIAN PARKE LANE
Mailing Address - Street 2:SUIT B
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142
Mailing Address - Country:US
Mailing Address - Phone:317-412-4165
Mailing Address - Fax:
Practice Address - Street 1:386 MERIDIAN PARKE LANE
Practice Address - Street 2:SUIT B
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142
Practice Address - Country:US
Practice Address - Phone:317-412-4165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-19
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34008087A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty