Individual provider Active NPI

Alexis Tatel, LMSW

  • Clinical Social Worker
  • La Porte, IN
National Provider Identifier
1821440546
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007502A Issued in IN
Practice address
1101 Boyd Blvd
La Porte, IN 46350-4424
Phone
(219) 229-0109
NPI assigned
Jul 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34007502A IN Primary

Addresses

Primary practice location

1101 Boyd Blvd
La Porte, IN 46350-4424

Mailing address

PO Box 2257
Chesterton, IN 46304-0357
Phone (214) 992-6832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 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
I20210721003318 IN Practitioner - Clinical Social Worker 0941603476 Reassigns benefits to 1 organization
I20260304002194 IL Practitioner - Clinical Social Worker 0941603476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Here and Now Counseling LLC.Group PAC ID 5294155131, 12 clinicians

Practice addresses (Care Compare)

333 Skokie Blvd
Suite 108
Northbrook, IL 60062-1623
Phone (847) 450-0404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reflections Counseling CurrentSince Aug 15, 2021 Accepting new patients
Dr Heather Holleman LLC CurrentSince May 14, 2023 Accepting new patients
Here & Now Counseling LLC. CurrentSince Jan 21, 2026 Accepting new patients

Locations

333 Skokie Blvd
Ste 108
Northbrook, IL 60062
Phone (847) 450-0404

3220 E Jefferson Blvd
South Bend, IN 46615
Phone (574) 222-2466

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1821440546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2257",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463040357",
            "telephone_number": "214-992-6832",
            "fax_number": "219-926-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BOYD BLVD",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463504424",
            "telephone_number": "219-229-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATEL",
        "first_name": "ALEXIS",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007502A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

Verify at the official NPI Registry.