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SALLY A TIMMONS LLC
NPI 1871784330
Social Worker - Clinical in West Lafayette, IN

Active since August 08, 2007
120 SAGAMORE PARKWAY WEST, WEST LAFAYETTE, IN 47906(765) 404-6431(765) 477-7843 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sally A Timmons Llc NPPES

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

SALLY A TIMMONS LLC (NPI 1871784330) is a healthcare organization registered as a clinical in West Lafayette, Indiana and active in the NPI registry since August 2007. The organization lists Sally Ann Timmons, Registered Agent, as its authorized official.

NPPES Registry Identity

NPI1871784330
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSALLY A TIMMONS LLC
Location Address120 SAGAMORE PARKWAY WESTWest Lafayette, IN 47906
Mailing Address1805 Skyline RdLafayette, IN 47905 · (765) 404-6431 · Fax (765) 477-7843
Phone(765) 404-6431
Fax(765) 477-7843
Organization SubpartYes
Authorized OfficialSally Ann TimmonsRegistered Agent · (765) 404-6431
Enumeration DateAugust 8, 2007
Last NPPES UpdateNovember 15, 2007
✔ NPI 1871784330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 34004910A
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
120 SAGAMORE PARKWAY WEST, West Lafayette, IN 47906
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Other Identifiers 2

Other000000375779IN · Anthem Bcbs
Medicare PIN233410IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sally A Timmons Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20051209000241Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sally A Timmons LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sally Timmons, LCSW, RN
Clinical Social Worker
NPI 1114952397
120 SAGAMORE PKWY W
West Lafayette, IN 47906
(765) 404-6431
✔ PECOS✔ Accepts MedicareSame address

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

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 Sally A Timmons LLC's NPI number?

The NPI number for Sally A Timmons LLC is 1871784330. It was assigned to this organization in the NPPES registry on August 8, 2007.

Where is Sally A Timmons LLC located?

Sally A Timmons LLC is located at 120 Sagamore Parkway West, West Lafayette, IN 47906. The listed phone number is (765) 404-6431.

What is Sally A Timmons LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sally A Timmons LLC enrolled in Medicare?

Yes. Sally A Timmons LLC is registered in the Medicare PECOS enrollment system.

When is Sally A Timmons LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Sally A Timmons LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Sally A Timmons LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sally A Timmons LLC was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.