Tanicka Elizabeth Word, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

88001966A Issued in IN

Practice address

12125 E 65TH St
Indianapolis, IN 46236-4653

Phone

(312) 248-4062

NPI assigned

Dec 18, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth Word Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Forever Becoming LLC

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1558110189
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1073151239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12125 E 65TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462364653",
            "telephone_number": "312-248-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORD",
        "first_name": "TANICKA",
        "middle_name": "ELIZABETH",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-19-88946",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88001966A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WORD",
            "credential": "LMHCA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• James Woolner
• Kara K Wools-Kaloustian, M.D.
• Austin Tyler Wooten, PHARMD
• Blair Day Wooten, MD
• Kaden Wootten
• Work Ventures, LLC (Mend and Root)
• Workit Health Mi PLLC (Workith Health MI PLLC)
• Chelsea Ullmann Workman, DO
• Heavenly Workman, RBT
• Margaret D Workman, MD

• Mental Health Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.

Verify at the official NPI Registry.