Active NPI
Kayla M Honaker, LCSW
- Clinical Social Worker
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34010747A
- Practice address
- 11929 Glen Scott Dr
Indianapolis, IN 46236-9313 - Phone
- (260) 213-1120
- NPI assigned
- Oct 25, 2023
- Last updated
- Oct 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34010747A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Life Inc. | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Total Life FL PA | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.