THOMAS PATRICK BANTA LCAC
NPI 1528804523
Counselor - Addiction (Substance Use Disorder) in Jeffersonville, IN

Active since July 08, 2024PECOS Enrolled
1220 MISSOURI AVE, JEFFERSONVILLE, IN 47130(812) 283-2217 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 7, 2025, Jul 8, 2024 (2 updates tracked since 2024).

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

NPI1528804523
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTHOMAS PATRICK BANTACredential: LCAC
Location Address1220 MISSOURI AVEJeffersonville, IN 47130-3725
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 8, 2024
Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
NPI 1528804523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in IN · 87001744A
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 88001398A (IN)
1220 MISSOURI AVE, Jeffersonville, IN 47130

Other Names 1

Professional Name (2)Thomas Banta Lcac

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Thomas Patrick Banta Lcac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143715391
PECOS Enrollment IDI20251224001549
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.

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, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150009
Location1220 Missouri AveJeffersonville, IN 47130 · Clark County
Emergency services Birthing friendly

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.

Emergency Medicine
1220 MISSOURI AVE
JEFFERSONVILLE, IN 47130
Anesthesiology
1220 MISSOURI AVE
JEFFERSONVILLE, IN 47130
Emergency Medicine
1220 MISSOURI AVE
JEFFERSONVILLE, IN 47130
Social Worker (Clinical)
1220 MISSOURI AVE
JEFFERSONVILLE, IN 47130
Physician Assistant
1220 MISSOURI AVE
JEFFERSONVILLE, IN 47130
Physical Therapist
1220 MISSOURI AVE
JEFFERSONVILLE, IN 47130
Physician Assistant
1220 MISSOURI AVE
JEFFERSONVILLE, IN 47130
Anesthesiology
1220 MISSOURI AVE, JEFFERSONVILLE
JEFFERSONVILLE, IN 47130

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.

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 4 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 10 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.