1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Social Worker
  6. NPI Profile

KALYNN HARSTAD
NPI 1972071405
Social Worker - Clinical in Indianapolis, IN

Active since November 02, 2018Opted out of Medicare · through Apr 1, 2028
4200 S EAST ST, INDIANAPOLIS, IN 46227(312) 733-9730(773) 866-8014 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2021, Jun 23, 2020, Nov 2, 2018 (3 updates tracked since 2018).

About Kalynn Harstad NPPES

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

KALYNN HARSTAD (NPI 1972071405) is an individual clinical provider in Indianapolis, Indiana, licensed in Indiana (34008779A) and active in the NPI registry since November 2018. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1972071405
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKALYNN HARSTAD
Location Address4200 S EAST STIndianapolis, IN 46227-1534
Mailing Address30 W Monroe St Ste 1200Chicago, IL 60603-2420 · (312) 733-9730 · Fax (773) 866-8014
Phone(312) 733-9730
Fax(773) 866-8014
Sole ProprietorNo
Enumeration DateNovember 2, 2018
Last NPPES UpdateOctober 19, 20213 updates tracked since enumeration
NPPES CertifiedOctober 19, 2021
✔ NPI 1972071405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 34008779A
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.
Also ListedBehavior AnalystTaxonomy 103K00000X
4200 S EAST ST, Indianapolis, IN 46227
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, UnitedHealthcare.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

Kalynn Harstad 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 April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

MICHAEL SCHOTTMAN O.D.
Optometrist
4200 S EAST ST
INDIANAPOLIS, IN 46227
Marion County (217) 821-5346
COMDENT, PC
Dentist (General Practice)
4200 S EAST ST, SUITE A-14
INDIANAPOLIS, IN 46227
Marion County (317) 783-9993
MS. NICHOLE RACHELLE CRANE O.D.
Optometrist
4200 S EAST ST, SUITE D3
INDIANAPOLIS, IN 46227
Marion County (317) 781-1061
ANNA MARIE AVELINE NP
Nurse Practitioner
4200 S EAST ST
INDIANAPOLIS, IN 46227
Marion County (317) 991-7600
DIANE MARIE WESNER LMHC
Counselor (Mental Health)
4200 S EAST ST
INDIANAPOLIS, IN 46227
Marion County (317) 991-7600
SVS VISION INC
Optometrist
4200 S EAST ST
INDIANAPOLIS, IN 46227
Marion County (317) 781-1061
DR. MARK SAMIR BOUTROS M.D.
Internal Medicine
4200 S EAST ST
INDIANAPOLIS, IN 46227
Marion County (317) 991-7600
DR. FARZANA POYAN DDS
Dentist (General Practice)
4200 S EAST ST
INDIANAPOLIS, IN 46227
Marion County (317) 787-1320

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 Kalynn Harstad's NPI number?

The NPI number for Kalynn Harstad is 1972071405. It was assigned to this individual provider in the NPPES registry on November 2, 2018.

Where is Kalynn Harstad located?

Kalynn Harstad practices at 4200 S East St, Indianapolis, IN 46227. The listed phone number is (312) 733-9730.

What is Kalynn Harstad's specialty?

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

Is Kalynn Harstad enrolled in Medicare?

No. Kalynn Harstad has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kalynn Harstad accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and UnitedHealthcare list Kalynn Harstad 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 Kalynn Harstad was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.