Be Authentic Indy LLC
Organization Active NPI Clinical Social Worker · Indianapolis, IN
NPI 1841901022 · NPPES record last updated Mar 20, 2025
Key facts
- NPI
- 1841901022
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- BE AUTHENTIC INDY LLC
- Practice address
- 8606 Allisonville Rd Ste 120
Indianapolis, IN 46250-3585 - Phone
- (317) 548-8895
- Fax
- (317) 663-2524
- NPI assigned
- Dec 8, 2022
- Organization subpart
- No
Authorized official
- Name
- Tara England
- Title
- Owner
- Phone
- (646) 241-6260
Practitioners 22
-
Deborah Dillard-Stark, LCSW
-
Alecia D Hudson, MA, LMFT
-
Patricia Catherine McNeil, MS, LMHC
-
Jane Ellen Scruton, MSW, LCSW
-
Erica Thrash, LMHC
-
Paulette Young, LCSW
-
Nicole Marie Stark, MSW, LCSW
-
Lyndsay Erin Burton, LMHC, MA
-
Alisha Nicole Dowell, LCSW, MSW
-
Miranda K Linville, MA, LMHC
-
Erin Taylor Reynolds, MA, LMHC
-
Tonia Lynn Richards, MS, LMHC, LCAC
-
Nicole Maria Thompson, MSW, LCSW
-
Rebecca Carpenter, LSW
-
Jena Hassert, LSW
-
Alexjandra Valdes, LMHCA
-
Lynette Vanhyfte, MSW, LSW
-
Dana B Partin, LMHC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230317000399 | IN | Part B Supplier - Clinic/Group Practice | 7618341496 |
Receives reassigned benefits from 14 practitioners Practice locations: Columbus, IN; Indianapolis, IN |
National Provider Directory
Locations
8606 Allisonville Rd
Ste 120
Indianapolis, IN 46250
Phone (317) 548-8895
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
8606 Allisonville Rd Ste 120
Indianapolis, IN 46250-3585
Mailing address
11005 Thunderbird Dr
Carmel, IN 46032-7912
Phone (646) 241-6260
Other practice location 1
350 Thomas More Pkwy Ste 160
Crestview Hills, KY 41017-5460
Phone (859) 600-6990
Other practice location 2
4020 W Goeller Blvd
Columbus, IN 47201-8273
Phone (812) 408-8442
Other names
- Ellie Mental Health
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All providers in Indianapolis, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.