Provider Demographics
NPI:1770907636
Name:TINGLE, ARIELLE REBECCA (MS, LMHCA, NCC)
Entity type:Individual
Prefix:MS
First Name:ARIELLE
Middle Name:REBECCA
Last Name:TINGLE
Suffix:
Gender:F
Credentials:MS, LMHCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 FERNLEAF DR
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-2126
Mailing Address - Country:US
Mailing Address - Phone:765-532-5056
Mailing Address - Fax:765-374-2752
Practice Address - Street 1:200 FERRY ST STE B
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47901-1172
Practice Address - Country:US
Practice Address - Phone:765-532-5056
Practice Address - Fax:765-374-2752
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-13
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39002978A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300073199Medicaid