| Great Lakes Behavior Management Specialists, Inc. | |
|
6910 N Main St Unit 13 Granger IN 46530-9681 | |
| (574) 231-6766 | |
| (833) 249-2411 |
| Full Name | Great Lakes Behavior Management Specialists, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6910 N Main St Unit 13, Granger, Indiana |
| Authorized Official Name and Position | David M Groff (PRESIDENT) |
| Authorized Official Contact | 5742316766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Behavior Management Specialists, Inc. 52021 Cloverleaf Dr W South Bend IN 46637-6034 Ph: (574) 274-5173 | Great Lakes Behavior Management Specialists, Inc. 6910 N Main St Unit 13 Granger IN 46530-9681 Ph: (574) 231-6766 |
| NPI Number | 1891346441 |
|---|---|
| Provider Enumeration Date | 09/25/2019 |
| Last Update Date | 09/25/2019 |
| Medicare PECOS PAC ID | 9436580958 |
|---|---|
| Medicare Enrollment ID | O20200515001270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891346441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Channae Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578115234 PECOS PAC ID: 1850628009 Enrollment ID: I20190809001865 |
| Provider Name | Katelyn Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407465503 PECOS PAC ID: 5395164370 Enrollment ID: I20200924000466 |
| Provider Name | Karla Elizabeth Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619113511 PECOS PAC ID: 4385952894 Enrollment ID: I20201208002306 |
| Provider Name | Brittany N Ritchie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225683972 PECOS PAC ID: 5991112880 Enrollment ID: I20210319001101 |
| Provider Name | Cynthia J Lemp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922021948 PECOS PAC ID: 0244649259 Enrollment ID: I20210504000905 |
| Provider Name | Katendi Kanema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609533298 PECOS PAC ID: 6709275274 Enrollment ID: I20211123001114 |
| Provider Name | Michelle E Silvia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609528504 PECOS PAC ID: 7810384443 Enrollment ID: I20220428001151 |
| Provider Name | Julie Lynn Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952030629 PECOS PAC ID: 9739568254 Enrollment ID: I20220614000155 |
| Provider Name | Samantha M Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821875972 PECOS PAC ID: 3072961960 Enrollment ID: I20231207001768 |
| Provider Name | Jennifer Ordway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073291134 PECOS PAC ID: 7911349436 Enrollment ID: I20240529001535 |
Cynthia Shepherd, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15615 State Road 23 Ste D, Granger, IN 46530 Phone: 574-406-0190 | |
Abel Behavior Company, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 51513 Bittersweet Rd, Suite B, Granger, IN 46530 Phone: 574-261-4025 Fax: 574-383-5545 | |
Thrivemore Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11550 Anderson Rd, Granger, IN 46530 Phone: 847-924-8095 | |
James R Hurst Phd Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6910 N Main St Unit 12, Granger, IN 46530 Phone: 574-250-2282 | |
The Cove Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6910 N Main St Unit 2, Granger, IN 46530 Phone: 574-274-2365 | |
Time To Talk, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50740 Princess Way Ste 500, Granger, IN 46530 Phone: 574-633-9842 | |
Intrigue Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15015 Sr 23, Granger, IN 46530 Phone: 574-234-3515 Fax: 574-234-3565 |