Individual provider Active NPI

Tanya K Thompson, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1689799033
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004174A Issued in IN
Practice address
5610 Crawfordsville Rd
Ste 2201
Indianapolis, IN 46224
Phone
(317) 246-4020
Fax
(317) 243-2328
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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 87001168A IN
Clinical Social Worker 1041C0700X 34004174A IN Primary

Addresses

Primary practice location

5610 Crawfordsville Rd
Ste 2201
Indianapolis, IN 46224

Mailing address

850 N Meridian St
Indianapolis, IN 46204-1098
Phone (317) 246-4020

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
I20110815000303 IN Practitioner - Clinical Social Worker 1850560525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Generations Counseling Services, LLCGroup PAC ID 7810376696, 4 clinicians

Practice addresses (Care Compare)

9001 Wesleyan Rd
205 Generations Counseling SVCS North
Indianapolis, IN 46268-1150
Phone (317) 743-8202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87001168AINMDAddiction (Substance Use Disorder) Counselor
34004174AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Counseling Services, LLC CurrentSince Feb 21, 2023 Accepting new patients
Eskenazi Medical Group Inc Past Accepting new patients

Locations

9650 Commerce Dr
Ste 532
Carmel, IN 46032
Phone (317) 743-8202

435 E Main St
Ste 200
Greenwood, IN 46143
Phone (317) 473-8202

9001 Wesleyan Rd
Ste 205
Indianapolis, IN 46268
Phone (317) 743-8202

Organizations & group practices 2

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1689799033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041098",
            "telephone_number": "317-246-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 CRAWFORDSVILLE RD",
            "address_2": "STE 2201",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46224",
            "telephone_number": "317-246-4020",
            "fax_number": "317-243-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TANYA",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001168A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004174A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.