Kathi Jean Lange, LMFT, LCSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34000883A Issued in IN

Practice address

303 S Perry St
Attica, IN 47918-1441

Phone

(765) 762-0611

Fax

(765) 762-1753

NPI assigned

Apr 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

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.

Opted out of Medicare

Yes, effective Oct 24, 2016 through Oct 24, 2026

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Families United, Inc.

  • Community/Behavioral Health Agency
  • Attica, IN
  • NPI 1003121781
  NPD (past) Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316165137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "address_2": "303 SOUTH PERRY STREET",
            "city": "ATTICA",
            "state": "IN",
            "postal_code": "479180340",
            "telephone_number": "765-762-0611",
            "fax_number": "765-762-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S PERRY ST",
            "city": "ATTICA",
            "state": "IN",
            "postal_code": "479181441",
            "telephone_number": "765-762-0611",
            "fax_number": "765-762-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "KATHI",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LMFT, LCSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000883A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yessenia I Girdler, LCSW
• Sarah Haas, LCSW
• Hook-Superx LLC (CVS Pharmacy #06673)
• Ronald Knabel
• Tammy Faye Knechel
• Jacob Gray Leclaire, PHARMD
• Little Physical Therapy LLC
• Kennon Mark Little
• Kendall Ashley Lockwood, LMSW
• Carter Kenny McGowen, PA-C

• Clinical Social Worker in Attica, IN
• Providers in Attica, 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 Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.