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Liberation Ministries Inc

Addiction (Substance Use Disorder) Counselor in Indianapolis, IN · enumerated 2006 · authorized official Jacqueline Carroll, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1972618452

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Liberation Ministries Inc
Other name <Unavail>
Practice address 3901 N. College Ave, Suite 135, Indianapolis, IN, 46205
Fax (317) 931-0943
Enumeration date Aug 21, 2006
Last updated in NPPES Dec 15, 2022

Taxonomy & classification

101Y00000X Counselor Behavioral Health & Social Service Providers Secondary
101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Primary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
101YP1600X Pastoral Counselor Behavioral Health & Social Service Providers Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary
103TB0200X Cognitive & Behavioral Psychologist Behavioral Health & Social Service Providers Secondary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Secondary
103TC1900X Counseling Psychologist Behavioral Health & Social Service Providers Secondary
104100000X Social Worker Behavioral Health & Social Service Providers Secondary

Authorized official

Name Jacqueline Carroll
Title Ceo

Other identifiers

Identifier Type State Issuer
200493540 Medicaid IN -
300022920 Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Liberation Ministries Inc located?
The practice location on file with NPPES is in Indianapolis, IN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-12-15. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-12-15.