| Duneland Counseling Center, Inc. | |
|
215 W Indiana Ave Chesterton IN 46304-2457 | |
| (219) 921-0705 | |
| (219) 921-0557 |
| Full Name | Duneland Counseling Center, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 215 W Indiana Ave, Chesterton, Indiana |
| Authorized Official Name and Position | Jeanne Trifone (PRESIDENT) |
| Authorized Official Contact | 2199210705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Duneland Counseling Center, Inc. 215 W Indiana Ave Chesterton IN 46304-2457 Ph: (219) 921-0705 | Duneland Counseling Center, Inc. 215 W Indiana Ave Chesterton IN 46304-2457 Ph: (219) 921-0705 |
| NPI Number | 1528181476 |
|---|---|
| Provider Enumeration Date | 04/07/2007 |
| Last Update Date | 09/16/2011 |
| Medicare PECOS PAC ID | 7810958949 |
|---|---|
| Medicare Enrollment ID | O20041022000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528181476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20040996 (Indiana) | Primary |
| Provider Name | Anthony S Pellegrini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932225497 PECOS PAC ID: 5799824298 Enrollment ID: I20091123000109 |
| Provider Name | Jeanne M Trifone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366565210 PECOS PAC ID: 7719948843 Enrollment ID: I20111013000667 |
| Provider Name | Jill A Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346305091 PECOS PAC ID: 3971775040 Enrollment ID: I20111013000675 |
| Provider Name | Angelina L Valente |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528267127 PECOS PAC ID: 6002178076 Enrollment ID: I20180403001368 |
| Provider Name | Michelle Hardlannert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033381330 PECOS PAC ID: 1153772603 Enrollment ID: I20240109001748 |
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