Organization Active NPI

T Fields Trauma Therapy & Training

  • Clinical Social Worker
  • Abilene, KS
National Provider Identifier
1386215218
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
T FIELDS TRAUMA THERAPY & TRAINING
Practice address
1904 Beekman PL
Abilene, KS 67410-1551
Phone
(785) 210-7707
NPI assigned
Jul 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Tara Ann Fields, MSW, LSCSWNPI 1609221803
Title
Owner, Ceo
Phone
(785) 210-7707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1904 Beekman PL
Abilene, KS 67410-1551

Mailing address

1904 Beekman PL
Abilene, KS 67410-1551

Other practice location 1

303 Sheridan Rd
Fort Bliss, TX 79906-3804
Phone (913) 370-7194

Other practice location 2

102 Pineland Ln
Brandenburg, KY 40108-9136
Phone (270) 422-1026

Other identifiers 1

IdentifierTypeStateIssuer
1386215218OtherKSTYPE 2 NPI

Other names 1

  • T4 Therapy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, KY, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20210810002766 KS Part B Supplier - Clinic/Group Practice 3678977857 Receives reassigned benefits from 3 practitioners
Practice locations: Abilene, KS
O20240927001564 KY Part B Supplier - Clinic/Group Practice 3678977857 Receives reassigned benefits from 1 practitioner
Practice locations: Brandenburg, KY
O20260417000456 TX Part B Supplier - Clinic/Group Practice 3678977857 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1386215218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 BEEKMAN PL",
            "city": "ABILENE",
            "state": "KS",
            "postal_code": "674101551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 BEEKMAN PL",
            "city": "ABILENE",
            "state": "KS",
            "postal_code": "674101551",
            "telephone_number": "785-210-7707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Bliss",
            "state": "TX",
            "postal_code": "799063804",
            "country_code": "US",
            "telephone_number": "913-370-7194",
            "fax_number": "785-576-1092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Pineland Ln",
            "address_purpose": "LOCATION",
            "city": "Brandenburg",
            "state": "KY",
            "postal_code": "401089136",
            "country_code": "US",
            "telephone_number": "270-422-1026",
            "fax_number": "785-576-1092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "T FIELDS TRAUMA THERAPY & TRAINING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "785-210-7707",
        "authorized_official_credential": "MSW, LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1386215218",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T4 Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "T4 Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Abilene, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.