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KAYONA PATES MSW
NPI 1225674781
Counselor in South Bend, IN

Active since November 20, 2019PECOS Enrolled
415 E MADISON ST, SOUTH BEND, IN 46617(574) 533-1234(574) 537-2652 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 10, 2020, Nov 20, 2019 (2 updates tracked since 2019).

About Kayona Pates Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAYONA PATES MSW (NPI 1225674781) is an individual counselor in South Bend, Indiana and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225674781
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKAYONA PATESCredential: MSW
Location Address415 E MADISON STSouth Bend, IN 46617-2322
Mailing AddressPo Box 809Goshen, IN 46527-0809 · (574) 533-1234 · Fax (574) 537-2652
Phone(574) 533-1234
Fax(574) 537-2652
Sole ProprietorNo
Enumeration DateNovember 20, 2019
Last NPPES UpdateJanuary 10, 20202 updates tracked since enumeration
✔ NPI 1225674781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
415 E MADISON ST, South Bend, IN 46617
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Other Names 1

Former Name (1)Kayona Blackwood Msw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kayona Pates Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kayona Pates reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oaklawn Psychiatric Center, Inc.
14 mi
Mental Health (Including Community Mental Health Center)
2600 OAKLAND AVE
Elkhart, IN 46517
  • Reassigned Medicare billing, Indiana enrollment
  • 116 clinicians in this Medicare group
NPI 1598847212 (574) 533-1234

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BREANA S BOWSHER MSW
Social Worker
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1234
CLARICE SHEAR MA
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
MRS. CARRIE ANNE BIANCHINI LMHC
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
SHANNA BONTRAGER MA
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
KAREN TANG
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
CHRISTINA MARTIN
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
MONICA KUNZ LCSW
Social Worker (Clinical)
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
MARIA GALLEGOS MA
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kayona Pates's NPI number?

The NPI number for Kayona Pates is 1225674781. It was assigned to this individual provider in the NPPES registry on November 20, 2019. The provider is also known as Kayona Blackwood Msw.

Where is Kayona Pates located?

Kayona Pates practices at 415 E Madison St, South Bend, IN 46617. The listed phone number is (574) 533-1234.

What is Kayona Pates's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kayona Pates enrolled in Medicare?

Yes. Kayona Pates is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kayona Pates's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kayona Pates reassigns Medicare benefits to Oaklawn Psychiatric Center, Inc. (Elkhart, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kayona Pates's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kayona Pates accept?

Health plans from CareSource list Kayona Pates as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kayona Pates was last updated on January 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.