Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Thomas Patrick Banta, LCAC

Individual provider Mental Health Counselor · NPI 1528804523

Thomas Patrick Banta, LCAC is a Mental Health Counselor in Jeffersonville, Indiana. Qualified in 2020, 6 years ago. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1220 Missouri Ave
Jeffersonville, IN 47130-3725
Phone: (812) 283-2217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 87001744A (IN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 88001398A (IN)

Record details

NPI number1528804523
Entity typeIndividual (Type 1)
GenderMale
Credentials LCAC
Sole proprietorNo
NPI enumeratedJuly 8, 2024
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025
Mailing addressPo Box 776351, Chicago, IL 60677-6351

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Jeffersonville