Individual provider Active NPI

Gina Pike, LCSW

  • Clinical Social Worker
  • Valparaiso, IN
National Provider Identifier
1932799681
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34009736A Issued in IN
Practice address
163 E 400 S
Valparaiso, IN 46383-7828
Phone
(219) 276-0946
NPI assigned
Jan 26, 2021
Last updated
Jul 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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 34009736A IN Primary

Addresses

Primary practice location

163 E 400 S
Valparaiso, IN 46383-7828

Mailing address

163 E 400 S
Valparaiso, IN 46383-7828
Phone (219) 276-0946

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
I20221028000650 IN Practitioner - Clinical Social Worker 0446627814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

333 N Alabama St
Suite 350
Indianapolis, IN 46204-2275
Phone (866) 630-0966

755 W Carmel Dr
Suite 209
Carmel, IN 46032-5878
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Aug 2, 2023 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Oct 20, 2022 Accepting new patients
Lpa Co. Clinical PastSince Jan 1, 2021 Accepting new patients

Locations

755 W Carmel Dr
Ste 209
Carmel, IN 46032
Phone (702) 372-2446

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

250 Main St
Ste 420
Lafayette, IN 47901
Phone (219) 885-3441

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1932799681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 E 400 S",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837828",
            "telephone_number": "219-276-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 E 400 S",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837828",
            "telephone_number": "219-276-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKE",
        "first_name": "GINA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009736A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.