Individual provider Active NPI

Krystyn M Gunther, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1588013783
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010432A Issued in IN
Practice address
3401 E Raymond St
Indianapolis, IN 46203-4744
Phone
(317) 957-2100
NPI assigned
Jun 8, 2016
Last updated
May 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 149017582 IL
Clinical Social Worker 1041C0700X 34010432A IN Primary

Addresses

Primary practice location

3401 E Raymond St
Indianapolis, IN 46203-4744

Mailing address

3403 E Raymond St
Indianapolis, IN 46203-4744
Phone (317) 957-2000

Other identifiers 2

IdentifierTypeStateIssuer
300082132MedicaidIN
149017582OtherILILLINOIS LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181031002412 IL Practitioner - Clinical Social Worker 7517210941 Reassigns benefits to 1 organization
I20240509001300 IN Practitioner - Clinical Social Worker 7517210941 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149017582ILMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Recover Together, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Recover Together, LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

3070 104th St
#100
Urbandale, IA 50322

Dept CH 17590
Palatine, IL 60055
Phone (844) 450-3100

1017 3rd St
Columbus, IN 47201
Phone (608) 977-7226

590 Ironwood Dr
Franklin, IN 46131

Organizations & group practices 3

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": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1588013783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 E RAYMOND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034744",
            "telephone_number": "317-957-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 E RAYMOND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034744",
            "telephone_number": "317-957-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNTHER",
        "first_name": "KRYSTYN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "149017582",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010432A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300082132",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS LIC",
            "identifier": "149017582",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.