Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jazmyne Tidwell, LMHC

Individual provider Mental Health Counselor · NPI 1003799669

Jazmyne Tidwell, LMHC is a Mental Health Counselor in Indianapolis, Indiana. Qualified in 2022, 4 years ago. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2025
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

2506 Willowbrook Pkwy Ste 300
Indianapolis, IN 46205-1500
Phone: (317) 574-1254
Fax: (317) 674-0060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 39005576A (IN)

Record details

NPI number1003799669
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC
Sole proprietorNo
NPI enumeratedJuly 30, 2025
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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