Rebecca Jane Fifer-Grimes

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

99102270A Issued in IN

Practice address

3209 W Smith Valley Rd Ste 143
Greenwood, IN 46142-8514

Phone

(833) 914-4688

NPI assigned

Jan 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Thrivepointe Indiana LLC

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1750937280
  NPD (past)

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1306435607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311 BOBCAT TRAIL DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462379454",
            "telephone_number": "317-294-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 W SMITH VALLEY RD STE 143",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461428514",
            "telephone_number": "833-914-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIFER-GRIMES",
        "first_name": "REBECCA",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "99102270A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Douglas Fell, PHARM.D.
• Alexander John Felt, PA-C
• Simon Fu Feng, MD
• Caitlin Ferguson
• Kelly Fields
• Laura Fikes, OTR
• Sarah Fillmore
• Abigail Makenzie Fimreite, CCC-SLP
• Kristen M Finkiewicz, OTA
• Emma L Finlinson, RBT

• Clinical Social Worker in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.