Individual provider Active NPI

Kayla M Honaker, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1154193944
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010747A Issued in IN
Practice address
11929 Glen Scott Dr
Indianapolis, IN 46236-9313
Phone
(260) 213-1120
NPI assigned
Oct 25, 2023
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34010747A IN Primary

Addresses

Primary practice location

11929 Glen Scott Dr
Indianapolis, IN 46236-9313

Mailing address

11929 Glen Scott Dr
Indianapolis, IN 46236-9313
Phone (260) 213-1120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231103001062 IN Practitioner - Clinical Social Worker 9739536368 Reassigns benefits to 3 organizations
I20250417001801 MT Practitioner - Clinical Social Worker 9739536368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

110 Front St
Suite 300
Jupiter, FL 33477-5095

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34010747AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Inc. CurrentSince Mar 1, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Oct 13, 2023 Accepting new patients
Total Life FL PA CurrentSince Jul 1, 2025 Accepting new patients

Locations

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 566-2035

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

5 W Mendenhall St
Ste 202
Bozeman, MT 59715
Phone (406) 219-7233

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1154193944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11929 GLEN SCOTT DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462369313",
            "telephone_number": "260-213-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11929 GLEN SCOTT DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462369313",
            "telephone_number": "260-213-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONAKER",
        "first_name": "KAYLA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010747A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.