DR. LAUREN GRACE HANSEN BUTLER (PSY.D.) – Clinical Psychologist, NPI 1609261049
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
450 CLINICAL PSYCHOLOGIST in IN
Provider Addresses for DR. LAUREN GRACE HANSEN BUTLER (PSY.D.)
10291 N MERIDIAN ST STE 310
INDIANAPOLIS, IN 462901083
Phone: (317) 672-1970
Type: Mailing
3700 W Kilgore Ave
Muncie, IN 473044810
Phone: (765) 289-5437
Fax: (317) 375-7747
Type: Location
10291 N Meridian St Ste 310
Indianapolis, IN 462901083
Phone: (317) 672-1970
Type: Location
8570 GRANITE CT STE 101
FORT MYERS, FL 339084240
Phone: (352) 483-3769
Type: Location
1214 SHENANDOAH CT
MARCO ISLAND, FL 341455024
Phone: (630) 664-5516
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-04-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190529002962 | I | Clinical Psychologist | IN | TBD |
| I20230410002534 | I | Clinical Psychologist | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46290)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | GA | |
| - | GA | |
| Clinical Psychologist | GA | |
| Nurse Practitioner | GA | |
| Clinical Psychologist | GA | |
| P S Y C H I A T R Y | GA | |
| Mental Health Counselor | TN | |
| Mental Health Counselor | GA | |
| Clinical Psychologist | GA |
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