Individual provider Active NPI

Hayden McMurtrie, LCSW

  • Social Worker
  • Lafayette, IN
National Provider Identifier
1275242679
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33008569A Issued in IN
Practice address
210 Meijer Dr Ste a
Lafayette, IN 47905-4694
Phone
(765) 430-5637
NPI assigned
Nov 15, 2022
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33008569A IN Primary
Clinical Social Worker 1041C0700X 34011938A IN

Addresses

Primary practice location

210 Meijer Dr Ste a
Lafayette, IN 47905-4694

Mailing address

210 Meijer Dr Ste a
Lafayette, IN 47905-4694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251126000143 IN Practitioner - Clinical Social Worker 4284126202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Four County Comprehensive Mental Health Center IncGroup PAC ID 2163334277, 42 clinicians

Practice addresses (Care Compare)

1000 N Broadway
Peru, IN 46970-1070
Phone (574) 722-5151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33008569AINMDSocial Worker
34011938AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Four County Comprehensive Mental Health Center, Inc CurrentSince Nov 17, 2025 Accepting new patients
Four County Comprehensive Mental Health Center Inc CurrentSince Nov 17, 2025 Accepting new patients

Locations

1015 Michigan Ave
Logansport, IN 46947

1000 N Broadway
Peru, IN 46970
Phone (765) 472-5335

2355 S Business 31
Peru, IN 46970

Organizations & group practices 2

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": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1275242679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MEIJER DR STE A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MEIJER DR STE A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054694",
            "telephone_number": "765-430-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMURTRIE",
        "first_name": "HAYDEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-15",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33008569A",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011938A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.