Connie'S Clubhouse
NPI 1396634580 · Mental Health Counselor · Indianapolis, IN
Connie'S Clubhouse is a Mental Health Counselor organization in Indianapolis, IN (NPI 1396634580).
Provider details
- NPI number
- 1396634580
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Taylor Hines Miranda, Executive Director(435) 621-4153
Specialties & taxonomies
Behavioral Health & Social Service Providers
Agencies
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Respite Care Facility
- In Home Supportive Care Agency253Z00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Connie'S Clubhoues Inc
- Doing business as
- Connie'S Clubhoues Inc
Registry dates
- Enumerated
- 2025-07-01
- Last updated
- 2026-03-19
- Certified
- 2026-03-19
Frequently asked questions
- What is Connie'S Clubhouse's NPI number?
- Connie'S Clubhouse's National Provider Identifier (NPI) is 1396634580, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Connie'S Clubhouse?
- Connie'S Clubhouse is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Connie'S Clubhouse located?
- Connie'S Clubhouse's practice location on file with NPPES is 5142 Madison Ave Ste 7, Indianapolis, IN 46227-4248.
- What is Connie'S Clubhouse's phone number?
- The practice phone number listed in the NPPES registry for Connie'S Clubhouse is (435) 621-4153.
- Who is the authorized official for Connie'S Clubhouse?
- The authorized official listed on Connie'S Clubhouse's NPPES record is Taylor Hines Miranda, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Connie'S Clubhouse's NPI active?
- Yes — Connie'S Clubhouse's NPI (1396634580) is active in the NPPES registry as of the last update on 2026-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.