Mr Kevin Lee Boblitt, MA, LMHC | |
601 Wall St, Valparaiso, IN 46383-2512 | |
(219) 531-3500 | |
Not Available |
Full Name | Mr Kevin Lee Boblitt |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 601 Wall St, Valparaiso, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528055514 | NPI | - | NPPES |
000000316976 | Other | IN | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 39001569A (Indiana) | Primary |
Entity Name | Samaritan Behavioral Health, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205888641 PECOS PAC ID: 0244148625 Enrollment ID: O20101007000860 |
Mailing Address | Practice Location Address |
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Mr Kevin Lee Boblitt, MA, LMHC 1209 W 21st St, Laporte, IN 46350-6471 Ph: () - | Mr Kevin Lee Boblitt, MA, LMHC 601 Wall St, Valparaiso, IN 46383-2512 Ph: (219) 531-3500 |
Daniel Ryan Carter, Counselor Medicare: Medicare Enrolled Practice Location: 2004 Valparaiso St, Valparaiso, IN 46383 Phone: 219-477-5646 | |
Sarah Pessmeg, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 660 Morthland Dr, Valparaiso, IN 46385 Phone: 219-462-9200 | |
Melissa J Quiroz, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 2401 Valley Dr, Valparaiso, IN 46383 Phone: 219-413-5100 Fax: 260-421-5003 | |
Sonja Pierson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2801 Bertholet Blvd Ste 301, Valparaiso, IN 46383 Phone: 219-323-3311 | |
Tessa Bodish, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2302 Fernhill Dr, Valparaiso, IN 46385 Phone: 219-255-8258 | |
Sarah Schmidtke, Counselor Medicare: Medicare Enrolled Practice Location: 2004 Valparaiso St, Valparaiso, IN 46383 Phone: 219-477-5646 | |
Lindsay Hrebic, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2803 Boilermaker Ct, 1c, Valparaiso, IN 46383 Phone: 708-341-8840 |