Organization Active NPI

Oases Counseling Center

  • Clinical Social Worker
  • Greenfield, IN
National Provider Identifier
1396286803
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3400734A Issued in IN
Legal business name
OASES COUNSELING CENTER
Practice address
635 N State St Ste B
Greenfield, IN 46140-3607
Phone
(317) 437-5104
Fax
(317) 318-0280
NPI assigned
Mar 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Kimberly Wilma Hage, LCSW, SAPNPI 1629445440
Title
Clinical Director
Phone
(317) 437-5104

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 MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 3400734A IN Primary

Addresses

Primary practice location

635 N State St Ste B
Greenfield, IN 46140-3607

Mailing address

635 N State St Ste B
Greenfield, IN 46140-3607
Phone (317) 437-5104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230317000393 IN Part B Supplier - Clinic/Group Practice 4082088869 Receives reassigned benefits from 1 practitioner
Practice locations: Greenfield, IN

National Provider Directory

National Provider Directory

Locations

635 N State St
Ste B
Greenfield, IN 46140
Phone (317) 437-5104

Practitioners & affiliated clinicians

Practitioners 2

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": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1396286803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 N STATE ST STE B",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403607",
            "telephone_number": "317-437-5104",
            "fax_number": "317-318-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N STATE ST STE B",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403607",
            "telephone_number": "317-437-5104",
            "fax_number": "317-318-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASES COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "HAGE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "WILMA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "317-437-5104",
        "authorized_official_credential": "LCSW, SAP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "3400734A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.