Active NPI
Morgan Konie
- Social Worker
- Indianapolis, IN
National Provider Identifier
1053152512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 99125377A
- Practice address
- 8130 S Meridian St Ste 4a
Indianapolis, IN 46217-4960 - Phone
- (317) 889-0635
- NPI assigned
- Jun 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 99125377A | IN | Primary |
Addresses
Primary practice location
8130 S Meridian St Ste 4a
Indianapolis, IN 46217-4960
Mailing address
1432 Weber Dr Apt a
Indianapolis, IN 46227-5379
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99125377A | IN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Changing Tides Counseling, LLC | Current | Accepting new patients |
Locations
8130 S Meridian St
Ste 4A
Indianapolis, IN 46217
Phone (317) 520-1481
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Indianapolis, IN
- NPI 1215675863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1053152512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 WEBER DR APT A",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462275379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8130 S MERIDIAN ST STE 4A",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462174960",
"telephone_number": "317-889-0635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONIE",
"first_name": "MORGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-06",
"last_updated": "2024-06-06",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "99125377A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.