| Adjust Mental Health, Llc | |
|
10100 Lantern Rd Ste 250 Fishers IN 46037-9408 | |
| (317) 992-1988 | |
| Not Available |
| Full Name | Adjust Mental Health, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 10100 Lantern Rd Ste 250, Fishers, Indiana |
| Authorized Official Name and Position | Keegan Crocker (OWNER) |
| Authorized Official Contact | 3179921988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adjust Mental Health, Llc 10100 Lantern Rd Ste 250 Fishers IN 46037-9408 Ph: (317) 992-1988 | Adjust Mental Health, Llc 10100 Lantern Rd Ste 250 Fishers IN 46037-9408 Ph: (317) 992-1988 |
| NPI Number | 1841990686 |
|---|---|
| Provider Enumeration Date | 03/09/2023 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Medicare PECOS PAC ID | 9537509328 |
|---|---|
| Medicare Enrollment ID | O20240426001143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841990686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Keegan Crocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639500739 PECOS PAC ID: 8527296284 Enrollment ID: I20190703000723 |
| Provider Name | Megan Skelding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700330958 PECOS PAC ID: 7012246580 Enrollment ID: I20190909001994 |
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