Individual provider Active NPI

Kelle Zeabart, LCSW

  • Clinical Social Worker
  • Greenfield, IN
National Provider Identifier
1902229222
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006888A Issued in IN
Practice address
120 W McKenzie Rd Ste F
Greenfield, IN 46140
Phone
(317) 468-6200
NPI assigned
Jan 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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 34006888A IN Primary

Addresses

Primary practice location

120 W McKenzie Rd Ste F
Greenfield, IN 46140

Mailing address

240 N Tillotson Ave
Muncie, IN 47304-3988
Phone (765) 288-1928

Other practice location 1

509 Conrad Harcourt Way
Rushville, IN 46173-1165
Phone (765) 932-3699

Other practice location 2

1315 Hillcrest Rd
Bedford, IN 47421-3023
Phone (812) 329-4950

Other names 1

  • Kelle Beckham Former name

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
I20141006001269 IN Practitioner - Clinical Social Worker 9931329455 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hancock Physician Network LLCGroup PAC ID 8325952633, 139 clinicians

Practice addresses (Care Compare)

120 W McKenzie Rd
Suite H
Greenfield, IN 46140-1072
Phone (317) 462-2335

156 W Muskegon Dr
Hancock Counseling and Psychiatric Services
Greenfield, IN 46140-3069
Phone (317) 468-6200

801 N State
Greenfield, IN 46140-1270

801 N State St
Greenfield, IN 46140-1270

801 N State St 3
Central Indiana Amg Specialty Hospital
Greenfield, IN 46140-1270
Phone (317) 477-6789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Indiana, Inc. CurrentSince Nov 11, 2018 Accepting new patients
Hancock Physician Network, LLC CurrentSince Nov 13, 2017 Accepting new patients
Centerstone of Indiana, Inc. CurrentSince Nov 11, 2018 Accepting new patients
Meridian Health Services Corp CurrentSince Aug 9, 2014 Accepting new patients
Meridian Health Services Corp Current Accepting new patients
Meridian Health Services Corp. CurrentSince Aug 9, 2014 Accepting new patients

Locations

1315 Hillcrest Rd
Bedford, IN 47421
Phone (812) 279-3591

645 S Rogers St
Bloomington, IN 47403
Phone (812) 339-1691

720 N Marr Rd
Columbus, IN 47201
Phone (812) 314-3400

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

120 W McKenzie Rd
Ste F
Greenfield, IN 46140
Phone (317) 468-4200

240 N Tillotson Ave
Muncie, IN 47304

509 Harcourt Way
Rushville, IN 46173
Phone (765) 932-3699

Organizations & group practices 6

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": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1902229222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043988",
            "telephone_number": "765-288-1928",
            "fax_number": "765-741-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MCKENZIE RD STE F",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "46140",
            "telephone_number": "317-468-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Conrad Harcourt Way",
            "address_purpose": "LOCATION",
            "city": "Rushville",
            "state": "IN",
            "postal_code": "461731165",
            "country_code": "US",
            "telephone_number": "765-932-3699",
            "fax_number": "765-932-4164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 Hillcrest Rd",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "IN",
            "postal_code": "474213023",
            "country_code": "US",
            "telephone_number": "812-329-4950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEABART",
        "first_name": "KELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006888A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLE",
            "last_name": "BECKHAM",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.