Allen Marcellus Rader, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34003862A Issued in IN

Practice address

5455 W 86TH St Ste 110
Indianapolis, IN 46268-1504

Phone

(317) 820-3600

Fax

(317) 663-0914

NPI assigned

Dec 13, 2006

Last updated

Dec 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 6

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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, 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 Authorized official
• Allen's Therapeutic Services LLC

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1689034571
  NPD Authorized official
• Ruth Rader LCSW LLC

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1407183841
  NPD (past)
• Serenity Medical Center LLC

  • Psychiatry Physician
  • Fishers, IN
  • NPI 1558662791
  NPD (past)
• Serenity Medical Center West LLC

  • Psychiatry Physician
  • Fishers, IN
  • NPI 1467736561

  Clinical

  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1811058811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 W 86TH ST STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681504",
            "telephone_number": "317-820-3600",
            "fax_number": "317-663-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 W 86TH ST STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681504",
            "telephone_number": "317-820-3600",
            "fax_number": "317-663-0914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 E 96th St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462403760",
            "country_code": "US",
            "telephone_number": "317-820-3600",
            "fax_number": "317-663-0914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADER",
        "first_name": "ALLEN",
        "middle_name": "MARCELLUS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34003862A",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "34003862A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003862A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "7771028",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7771028",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "158107",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000193667",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "2111654",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "247448",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Elaine Radabaugh, N.P.
• Pragneshkumar N Radadiya, MD
• Myka Rae Radecki
• Mark P Radel, MA
• Nicholas Morgan Radell, PA-C
• Angela Rader
• Elizabeth Rader
• Erika Schwartz Rader, PA-C
• Katlyn Rader, NP
• Ruth Ann Rader, LCSW

• 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 Dec 3, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.