| Community Howard Regional Health Inc | |
|
3500 S Lafountain St Kokomo IN 46902-3803 | |
| (765) 453-0702 | |
| Not Available |
| Full Name | Community Howard Regional Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3500 S Lafountain St, Kokomo, Indiana |
| Authorized Official Name and Position | Ramarao Yeleti (CEO) |
| Authorized Official Contact | 3176218046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Howard Regional Health Inc 3500 S Lafountain St Kokomo IN 46902-3803 Ph: () - | Community Howard Regional Health Inc 3500 S Lafountain St Kokomo IN 46902-3803 Ph: (765) 453-0702 |
| NPI Number | 1881947133 |
|---|---|
| Provider Enumeration Date | 10/24/2012 |
| Last Update Date | 06/02/2022 |
| Certification Date | 06/02/2022 |
| Medicare PECOS PAC ID | 5890769988 |
|---|---|
| Medicare Enrollment ID | O20040824000916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881947133 | NPI | - | NPPES |
| 201111550 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Timothy A Swain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982712113 PECOS PAC ID: 3274509898 Enrollment ID: I20040906000030 |
| Provider Name | Geoffrey M Fortner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669569059 PECOS PAC ID: 1658334909 Enrollment ID: I20041108000538 |
| Provider Name | Jason C Ehret |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083678585 PECOS PAC ID: 2365471448 Enrollment ID: I20050809000611 |
| Provider Name | Chris Stephen Diederich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821016700 PECOS PAC ID: 5395760961 Enrollment ID: I20051012000827 |
| Provider Name | Michelle L Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114015302 PECOS PAC ID: 3274429501 Enrollment ID: I20070615000317 |
| Provider Name | Syed Hasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619909991 PECOS PAC ID: 6800782137 Enrollment ID: I20070619000008 |
| Provider Name | John F Schiltz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154533107 PECOS PAC ID: 5092880849 Enrollment ID: I20080813000887 |
| Provider Name | Kanwaldeep S Sidhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033326947 PECOS PAC ID: 7517019862 Enrollment ID: I20090716000531 |
| Provider Name | Dawne Mccarty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861401283 PECOS PAC ID: 4385775915 Enrollment ID: I20100626000005 |
| Provider Name | Douglas R Cook |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932323698 PECOS PAC ID: 8820280670 Enrollment ID: I20101012000346 |
| Provider Name | Arman H Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447484167 PECOS PAC ID: 5698953016 Enrollment ID: I20110706000417 |
| Provider Name | Kimberly Farouki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689940942 PECOS PAC ID: 7315108008 Enrollment ID: I20120405000032 |
| Provider Name | Christina J Waddups |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770750473 PECOS PAC ID: 7214190842 Enrollment ID: I20120518000226 |
| Provider Name | Danielle Majors |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124462239 PECOS PAC ID: 9739328063 Enrollment ID: I20130618000582 |
| Provider Name | Mary E Osburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699060913 PECOS PAC ID: 2062651912 Enrollment ID: I20130625000636 |
| Provider Name | Benjamin M Coplan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033324181 PECOS PAC ID: 4789734153 Enrollment ID: I20130826001065 |
| Provider Name | Angela Marie Watts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013281138 PECOS PAC ID: 3476785783 Enrollment ID: I20140418000338 |
| Provider Name | Janette Link |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912086638 PECOS PAC ID: 2466694617 Enrollment ID: I20140908000154 |
| Provider Name | Jeanette Brennan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699874875 PECOS PAC ID: 0941420251 Enrollment ID: I20141009000944 |
| Provider Name | Nancy Lobdell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720044118 PECOS PAC ID: 7113149006 Enrollment ID: I20141110000093 |
| Provider Name | Angela Levingston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245637925 PECOS PAC ID: 6507188901 Enrollment ID: I20141212001285 |
| Provider Name | Sukyong Rhee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154749638 PECOS PAC ID: 2365668092 Enrollment ID: I20150323001367 |
| Provider Name | Axa N Troncoso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588925218 PECOS PAC ID: 5496074353 Enrollment ID: I20150428001043 |
| Provider Name | Greg Hostetler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003943689 PECOS PAC ID: 8123330628 Enrollment ID: I20150710001601 |
| Provider Name | Joseph Wesche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770691925 PECOS PAC ID: 0840435319 Enrollment ID: I20150717000072 |
| Provider Name | Carl Ratliff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740470210 PECOS PAC ID: 1557522208 Enrollment ID: I20150717000528 |
| Provider Name | Laura Graefnitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245367820 PECOS PAC ID: 3577706480 Enrollment ID: I20150717000999 |
| Provider Name | Laxeshkumar Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790096782 PECOS PAC ID: 6800109950 Enrollment ID: I20150717001155 |
| Provider Name | Julia Gibson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164563540 PECOS PAC ID: 2163665688 Enrollment ID: I20150717001370 |
| Provider Name | Nathaniel D Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174787782 PECOS PAC ID: 7113232018 Enrollment ID: I20150821013308 |
| Provider Name | Greg P Edie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235505942 PECOS PAC ID: 6507172723 Enrollment ID: I20150903000116 |
| Provider Name | Rebecca L Ball |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194101584 PECOS PAC ID: 7012223951 Enrollment ID: I20150908002567 |
| Provider Name | Marie Yager |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962869917 PECOS PAC ID: 1052617974 Enrollment ID: I20160302002034 |
| Provider Name | Christopher M Dipiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285968149 PECOS PAC ID: 1355525296 Enrollment ID: I20160621000207 |
| Provider Name | Wendy Budwig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003366139 PECOS PAC ID: 2264710193 Enrollment ID: I20161028000265 |
| Provider Name | Amanda Claire Landberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487071700 PECOS PAC ID: 7214205418 Enrollment ID: I20170612002255 |
| Provider Name | Kyle Roussey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679099055 PECOS PAC ID: 8224302088 Enrollment ID: I20170919000409 |
| Provider Name | Ishrat Ali Bhat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649433533 PECOS PAC ID: 9234312620 Enrollment ID: I20171005001912 |
| Provider Name | Stephanie Case |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982132940 PECOS PAC ID: 8123388469 Enrollment ID: I20180207001060 |
| Provider Name | Tomeika Anderson |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1932465499 PECOS PAC ID: 2668611419 Enrollment ID: I20180328001878 |
| Provider Name | Holley L Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932694288 PECOS PAC ID: 2567710874 Enrollment ID: I20180802002246 |
| Provider Name | Charles Evans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316334899 PECOS PAC ID: 7315271871 Enrollment ID: I20190703000566 |
| Provider Name | Lindsey Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265994180 PECOS PAC ID: 9931435047 Enrollment ID: I20190727000013 |
| Provider Name | Heather Hare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881054575 PECOS PAC ID: 0648508259 Enrollment ID: I20190821000097 |
| Provider Name | Matthew Matteson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467096339 PECOS PAC ID: 7315370376 Enrollment ID: I20191204002620 |
| Provider Name | Shilpa Puri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013446061 PECOS PAC ID: 3476821091 Enrollment ID: I20200518003117 |
| Provider Name | Hannah C Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669026308 PECOS PAC ID: 9335477629 Enrollment ID: I20200706002571 |
| Provider Name | Jacob Mulinix |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871090175 PECOS PAC ID: 0840545802 Enrollment ID: I20210928002170 |
| Provider Name | Kierra Y Hayes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851825814 PECOS PAC ID: 7911231386 Enrollment ID: I20211027000362 |
| Provider Name | Shannon Wheeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457932378 PECOS PAC ID: 7214327477 Enrollment ID: I20211201002222 |
| Provider Name | Debra Kay Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982363776 PECOS PAC ID: 0941691232 Enrollment ID: I20211221001323 |
| Provider Name | Gabriel Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730686031 PECOS PAC ID: 8729333943 Enrollment ID: I20220801002884 |
| Provider Name | Ashley Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144745563 PECOS PAC ID: 7214304336 Enrollment ID: I20221102002567 |
| Provider Name | Pei-tzu Angela Su |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144940586 PECOS PAC ID: 1951765163 Enrollment ID: I20230906003154 |
| Provider Name | Trisha Knight |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386855716 PECOS PAC ID: 7214385830 Enrollment ID: I20231121000507 |
| Provider Name | Michelle Wood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447530712 PECOS PAC ID: 1153779517 Enrollment ID: I20231122002345 |
| Provider Name | Daniel Oakes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730552233 PECOS PAC ID: 9032567490 Enrollment ID: I20231122002476 |
| Provider Name | Adam Hutton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346642238 PECOS PAC ID: 8325496797 Enrollment ID: I20231122002819 |
| Provider Name | Bridgette E Mclaurin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336419894 PECOS PAC ID: 2769830926 Enrollment ID: I20231128003098 |
| Provider Name | Heidi J Schaefer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114050234 PECOS PAC ID: 9032567227 Enrollment ID: I20231129000151 |
| Provider Name | Jennifer L O'neal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225385651 PECOS PAC ID: 3173971371 Enrollment ID: I20231129000732 |
| Provider Name | Daniel Paul Price |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154653780 PECOS PAC ID: 2163870254 Enrollment ID: I20231130000658 |
| Provider Name | Jodi Danielle Battle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386021681 PECOS PAC ID: 1153779053 Enrollment ID: I20231204001542 |
| Provider Name | Cynthia J Voorhees |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588897417 PECOS PAC ID: 1355793472 Enrollment ID: I20240113000736 |
| Provider Name | Sarah Graber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922789718 PECOS PAC ID: 4789036799 Enrollment ID: I20240116000747 |
| Provider Name | Peggy Gross |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679021927 PECOS PAC ID: 2365894383 Enrollment ID: I20240116000942 |
| Provider Name | Catherine Hook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578238796 PECOS PAC ID: 4688026610 Enrollment ID: I20240116001442 |
| Provider Name | Tonya Lynn Prifogle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952315244 PECOS PAC ID: 3476905431 Enrollment ID: I20240116002227 |
| Provider Name | John R. Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962527978 PECOS PAC ID: 0547587065 Enrollment ID: I20240116002510 |
| Provider Name | Betsy L Durham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598065690 PECOS PAC ID: 6800248790 Enrollment ID: I20240116003408 |
| Provider Name | Noah Cicalo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558020859 PECOS PAC ID: 3476905019 Enrollment ID: I20240118003196 |
| Provider Name | Holly Lynn Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275709537 PECOS PAC ID: 5597117705 Enrollment ID: I20240123002863 |
| Provider Name | Jennifer Shook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558915728 PECOS PAC ID: 8123461316 Enrollment ID: I20240205001983 |
| Provider Name | Chad David Myers |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952792418 PECOS PAC ID: 8921443839 Enrollment ID: I20240301001971 |
| Provider Name | Bailee Macaluso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568215978 PECOS PAC ID: 8325488950 Enrollment ID: I20240430003107 |
| Provider Name | Tristan Robert Bushman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275372716 PECOS PAC ID: 9335681857 Enrollment ID: I20240611003744 |
Raj Clinics Professional Services Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 S Berkley Rd, Kokomo, IN 46901 Phone: 574-732-1166 Fax: 574-753-4117 | |
Silver Linings In Home Supportive Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5550 Sandstone Ave, Kokomo, IN 46901 Phone: 765-513-1822 | |
Kokomo Academy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 623 S Berkley Rd, Kokomo, IN 46901 Phone: 765-452-9989 | |
Cardinal Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1810 Dogwood Dr, Kokomo, IN 46902 Phone: 765-553-5691 Fax: 765-553-5772 | |
Julie Harrell, Lcsw Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1201 W Alto Rd Unit D, Kokomo, IN 46902 Phone: 765-450-9901 | |
Family Piece Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4254 S 00 Ew, Kokomo, IN 46902 Phone: 765-461-2900 | |
Gilead House, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 E Sycamore St, Kokomo, IN 46901 Phone: 765-865-9427 |