JOHN J KISH III LCSW
NPI 1790894517
Social Worker - Clinical in Lafayette, IN
About John J Kish Iii Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN J KISH III LCSW (NPI 1790894517) is an individual clinical provider in Lafayette, Indiana, licensed in Indiana (34004560A) and active in the NPI registry since August 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
John J Kish Iii Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2018 through January 1, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAFAYETTE, IN 47905
LAFAYETTE, IN 47905
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 John Kish's NPI number?
The NPI number for John Kish is 1790894517. It was assigned to this individual provider in the NPPES registry on August 29, 2006.
Where is John Kish located?
John Kish practices at 3660 Rome Dr, Lafayette, IN 47905. The listed phone number is (765) 446-9394.
What is John Kish's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is John Kish enrolled in Medicare?
No. John Kish has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does John Kish accept?
Health plans from UnitedHealthcare list John Kish 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 John Kish was last updated on April 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# John J Kish III, LCSW · NPI 1790894517
Clinical provider in Lafayette, Indiana. Individual provider, active in the CMS NPPES registry since August 29, 2006.
## Identity
- **NPI:** 1790894517 (Entity type: Individual)
- **Enumerated:** August 29, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 34004560A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3660 ROME DR, Lafayette, IN 47905-4488
- **Phone:** (765) 446-9394 · **Fax:** (765) 447-8875
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** April 8, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1790894517) · Data from the CMS NPPES public registry.