THOMAS PATRICK BANTA LCAC
NPI 1528804523
Counselor - Addiction (Substance Use Disorder) in Jeffersonville, IN
About Thomas Patrick Banta Lcac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS PATRICK BANTA LCAC (NPI 1528804523) is an individual addiction (substance use disorder) provider in Jeffersonville, Indiana, licensed in Indiana (87001744A) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thomas Patrick Banta Lcac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Thomas Banta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Louisville, KY 40218
- Reassigned Medicare billing, Indiana enrollment
- 465 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Clark Memorial Hospital
Acute Care Hospitals · Jeffersonville, INOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Thomas Banta's NPI number?
The NPI number for Thomas Banta is 1528804523. It was assigned to this individual provider in the NPPES registry on July 8, 2024. The provider is also known as Thomas Banta Lcac.
Where is Thomas Banta located?
Thomas Banta practices at 1220 Missouri Ave, Jeffersonville, IN 47130. The listed phone number is (812) 283-2217.
What is Thomas Banta's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Thomas Banta enrolled in Medicare?
Yes. Thomas Banta is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Thomas Banta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Banta reassigns Medicare benefits to Community Medical Associates, Inc. (Louisville, KY). 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 Thomas Banta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Banta accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Thomas Banta 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.
Is Thomas Banta affiliated with any hospitals?
According to CMS data, Thomas Banta is affiliated with Clark Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Thomas Banta was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Thomas Patrick Banta, LCAC · NPI 1528804523
Addiction (Substance Use Disorder) provider in Jeffersonville, Indiana. Individual provider, active in the CMS NPPES registry since July 8, 2024.
## Identity
- **NPI:** 1528804523 (Entity type: Individual)
- **Enumerated:** July 8, 2024
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** 87001744A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1220 MISSOURI AVE, Jeffersonville, IN 47130-3725
- **Phone:** (812) 283-2217
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Community Medical Associates, Inc. (NPI 1386904647, Louisville, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1528804523) · Data from the CMS NPPES public registry.