Katherine J. Patrick, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

34005379A Issued in IN

Practice address

2318 Ellen Dr
Lafayette, IN 47909-2330

Phone

(765) 474-7121

NPI assigned

Oct 3, 2007

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alpine Physicians, LLC

  • Psychiatry Physician
  • Lafayette, IN
  • NPI 1225554801
  NPD

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1467649442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 ELLEN DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479092330",
            "telephone_number": "765-474-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 ELLEN DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479092330",
            "telephone_number": "765-474-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "KATHERINE",
        "middle_name": "J.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34005379A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priti Patel
• Ravi Patel, D.O.
• Romi Patel, RPH
• Sagar Sendhabhai Patel, M.D.
• Pathways to Empowerment
• Paige Elizabeth Patrick, PT, DPT
• Jessica Ann Patterson, RBT
• Steven M. Patterson, D.D.S., M.S.D., P.C.
• Christine Annette Pattison, PT
• Madeline Patton, PA

• Mental Health Counselor in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.