Individual provider Active NPI

Paige R Pine, LCSW

  • Social Worker
  • Kokomo, IN
National Provider Identifier
1972832798
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1531 Rockford CT
Kokomo, IN 46902-3207
Phone
(765) 453-4500
Fax
(765) 453-4525
NPI assigned
Dec 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

1531 Rockford CT
Kokomo, IN 46902-3207

Mailing address

1531 Rockford CT
PO Box 6459
Kokomo, IN 46902-3207
Phone (765) 453-4500

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
I20120104000604 IN Practitioner - Clinical Social Worker 3375719834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrity Family Counseling LLCGroup PAC ID 9830485507, 14 clinicians

Practice addresses (Care Compare)

2751 Albright Rd
Kokomo, IN 46902-3996
Phone (765) 450-4843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Family Counseling LLC CurrentSince Jan 1, 2023 Accepting new patients
Mending Minds, LLC PastSince Mar 1, 2022 Accepting new patients

Locations

2751 Albright Rd
Kokomo, IN 46902
Phone (765) 450-4843

417 Arnold Ct
Kokomo, IN 46902
Phone (765) 432-7006

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24167/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1972832798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 ROCKFORD CT",
            "address_2": "PO BOX 6459",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023207",
            "telephone_number": "765-453-4500",
            "fax_number": "765-453-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 ROCKFORD CT",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023207",
            "telephone_number": "765-453-4500",
            "fax_number": "765-453-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINE",
        "first_name": "PAIGE",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.