Phyllis Gateskill Starks, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34000936A Issued in IN

Practice address

4926 Common Vista CT
Indianapolis, IN 46220-5394

Phone

(317) 730-0023

NPI assigned

Aug 20, 2006

Last updated

May 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Allen's Therapeutic Services LLC

  dba ATS Wellness & Therapy

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1689028458
  Medicare reassignment
• Starks Mental Health

  • Community/Behavioral Health Agency
  • Indianapolis, IN
  • NPI 1558077818
  Authorized official Same address or phone
• Allen's Therapeutic Services LLC

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1689034571
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1750496063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4926 COMMON VISTA CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462205394",
            "telephone_number": "317-730-0023",
            "fax_number": "317-988-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4926 COMMON VISTA CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462205394",
            "telephone_number": "317-730-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKS",
        "first_name": "PHYLLIS",
        "middle_name": "GATESKILL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000936A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Rose Starks, MSW, LSW
• Crystal Starks, L.P.N.
• Emma Marie Starks, MSSA
• Erica Lynne Starks, LCSW
• Hugh B Starks, MD
• Dominique Starling
• Cheyenne Kierra Starner, CNM
• Emily Starnes
• Mary Starnes, PTA
• Teresa Haley-Bond Starnes, FNP

• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.