Provider Demographics
NPI:1508635202
Name:KAP COUNSELING, LLC
Entity Type:Organization
Organization Name:KAP COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:PASTRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-523-9877
Mailing Address - Street 1:5915 N COLLEGE AVE STE 213
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-2553
Mailing Address - Country:US
Mailing Address - Phone:317-662-2032
Mailing Address - Fax:
Practice Address - Street 1:5915 N COLLEGE AVE STE 213
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-2553
Practice Address - Country:US
Practice Address - Phone:317-662-2032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health