Active NPI
T Fields Trauma Therapy & Training
- Clinical Social Worker
- Abilene, KS
National Provider Identifier
1386215218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tara Ann Fields, MSW, LSCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386215218 | Other | KS | TYPE 2 NPI |
Other names 1
- T4 Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, KY, TX
Enrollment records 3
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- White Cloud, KS
- NPI 1245739127
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.