Individual provider Active NPI

Randall Patee, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1386754018
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34002367 Issued in IN
Practice address
1515 N Post Road
Indianapolis, IN 46219-8581
Phone
(317) 282-3088
NPI assigned
Aug 30, 2006
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39000350A IN
Clinical Social Worker 1041C0700X 34002367 IN Primary
Marriage & Family Therapist 106H00000X 35000024 IN

Addresses

Primary practice location

1515 N Post Road
Indianapolis, IN 46219-8581

Mailing address

105 S Good
Indianapolis, IN 46219

Other identifiers 1

IdentifierTypeStateIssuer
300076009MedicaidIN

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
I20140123001921 IN Practitioner - Clinical Social Worker 3577791383 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collaborating for Kids LLCGroup PAC ID 0547560542, 5 clinicians
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

1701 Library Blvd
Suite a
Greenwood, IN 46142-1567
Phone (317) 881-9923

333 N Alabama St
Suite 350
Indianapolis, IN 46204-2275
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39000350AINMDMental Health Counselor
34002367INMDClinical Social Worker
35000024INMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sugar Creek Counseling LLC CurrentSince Nov 16, 2020 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Nov 19, 2025 Accepting new patients
Collaborating for Kids, LLC Clinical CurrentSince Mar 11, 2025 Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. Past Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. Marriage & Family Therapist PastSince Mar 1, 2010 Accepting new patients

Locations

600 E Carmel Dr
Ste 108
Carmel, IN 46032
Phone (317) 523-7431

1701 Library Blvd
Ste A
Greenwood, IN 46142
Phone (317) 881-9923

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

Interoperability endpoints

  • Direct secure messaging: randall.patee.p1@direct.meridianhs.nextgenshare.com

Organizations & group practices 5

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1386754018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S GOOD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N POST ROAD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462198581",
            "telephone_number": "317-282-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEE",
        "first_name": "RANDALL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000350A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34002367",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35000024",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300076009",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.