Individual provider Active NPI

Kyle A Wehmann, LSW

  • Social Worker
  • Lafayette, IN
National Provider Identifier
1609588680
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33010563A Issued in IN
Practice address
401 S Earl Ave Ste 4a
Lafayette, IN 47904-3265
Phone
(765) 297-0090
Fax
(765) 297-0098
NPI assigned
Dec 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33010563A IN Primary

Addresses

Primary practice location

401 S Earl Ave Ste 4a
Lafayette, IN 47904-3265

Mailing address

401 S Earl Ave Ste 4a
Lafayette, IN 47904-3265
Phone (765) 297-0090

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kwehmann@enlightenedmentalhealth.org

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
I20230118000785 IN Practitioner - Clinical Social Worker 6709257389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enlightened Mental Health, LLCGroup PAC ID 9931567005, 2 clinicians

Practice addresses (Care Compare)

401 S Earl Ave
Suite 4a
Lafayette, IN 47904-3265
Phone (765) 297-0090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Enlightened Mental Health, LLC CurrentSince Jun 26, 2023 Accepting new patients

Locations

401 S Earl Ave
Ste 4A
Lafayette, IN 47904
Phone (765) 297-0090

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1609588680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S EARL AVE STE 4A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043265",
            "telephone_number": "765-297-0090",
            "fax_number": "765-297-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S EARL AVE STE 4A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043265",
            "telephone_number": "765-297-0090",
            "fax_number": "765-297-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHMANN",
        "first_name": "KYLE",
        "middle_name": "A",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33010563A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwehmann@enlightenedmentalhealth.org",
            "affiliation": "N",
            "address_1": "401 S Earl Ave Ste 4A",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479043265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.