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4221 N Broadway Ave Muncie IN 47303-1015 | |
| (765) 282-7150 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 4221 N Broadway Ave, Muncie, Indiana |
| Authorized Official Name and Position | Leslie Fuchs (CEO) |
| Authorized Official Contact | 7652827150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
11000 Optum Cir Eden Prairie MN 55344-2503 Ph: (765) 282-7150 | 4221 N Broadway Ave Muncie IN 47303-1015 Ph: (765) 282-7150 |
| NPI Number | 1336907963 |
|---|---|
| Provider Enumeration Date | 03/08/2024 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Medicare PECOS PAC ID | 0941648463 |
|---|---|
| Medicare Enrollment ID | O20240408000776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336907963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Angela D Lykins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689617649 PECOS PAC ID: 5890745749 Enrollment ID: I20050127000843 |
| Provider Name | Kim Nelson-blackburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811294168 PECOS PAC ID: 9638351935 Enrollment ID: I20110308000577 |
| Provider Name | Deborah A Stamper |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1437161387 PECOS PAC ID: 1456529049 Enrollment ID: I20110726000836 |
| Provider Name | Erica Paulin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114199049 PECOS PAC ID: 5092975201 Enrollment ID: I20120327000018 |
| Provider Name | Amanda H Luna |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881983450 PECOS PAC ID: 1456516442 Enrollment ID: I20120625000353 |
| Provider Name | Kathleen M Rapkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285943092 PECOS PAC ID: 9032341383 Enrollment ID: I20140421000680 |
| Provider Name | Melissa Pitcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558730762 PECOS PAC ID: 5193032258 Enrollment ID: I20150922002040 |
| Provider Name | Teresa Troxell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740798263 PECOS PAC ID: 8022371251 Enrollment ID: I20180420001513 |
| Provider Name | Emily Mental Arvin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598355653 PECOS PAC ID: 9234543448 Enrollment ID: I20210129001603 |
| Provider Name | Terrance Eugene Poindexter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225441751 PECOS PAC ID: 9133538135 Enrollment ID: I20210504000508 |
| Provider Name | Sasha Reardon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962077628 PECOS PAC ID: 6901202399 Enrollment ID: I20210910000145 |
| Provider Name | Sydney M Mcsorley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295322766 PECOS PAC ID: 7618340274 Enrollment ID: I20230301000821 |
| Provider Name | Kathleen M Vescelus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104532548 PECOS PAC ID: 9335509793 Enrollment ID: I20230717001877 |
| Provider Name | Rebeca Rodriguez Casas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588351910 PECOS PAC ID: 2062876675 Enrollment ID: I20230915000667 |
| Provider Name | Levi Thomas Laskowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679820351 PECOS PAC ID: 2264881010 Enrollment ID: I20231206000496 |
| Provider Name | Daniel Fife |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588058572 PECOS PAC ID: 4880043637 Enrollment ID: I20231206000553 |
| Provider Name | Lois Ann Weiss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962655951 PECOS PAC ID: 4880043645 Enrollment ID: I20231206000982 |
| Provider Name | Laura L Silence |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669119384 PECOS PAC ID: 2264884386 Enrollment ID: I20240113000745 |
| Provider Name | Jennifer Singer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831790518 PECOS PAC ID: 4789036963 Enrollment ID: I20240124000218 |
| Provider Name | Delaina Plahitko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316705353 PECOS PAC ID: 0941640726 Enrollment ID: I20240426000895 |
| Provider Name | Layla Rainbolt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063098333 PECOS PAC ID: 9234571993 Enrollment ID: I20240525000284 |
| Provider Name | Asra Syed |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851056337 PECOS PAC ID: 1153867502 Enrollment ID: I20240723000248 |
| Provider Name | Brittany Osborn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558859744 PECOS PAC ID: 7517403876 Enrollment ID: I20240723000921 |
| Provider Name | Mary Beth Winter |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932548302 PECOS PAC ID: 6608312962 Enrollment ID: I20240723000947 |
| Provider Name | Sarah Gramke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801269907 PECOS PAC ID: 6800332172 Enrollment ID: I20240723001298 |
| Provider Name | Rachel Weaver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548537087 PECOS PAC ID: 4486190634 Enrollment ID: I20240724000198 |
| Provider Name | Rebecca Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194304915 PECOS PAC ID: 0941746101 Enrollment ID: I20240724000560 |
| Provider Name | Amber Moody |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215476619 PECOS PAC ID: 7517404684 Enrollment ID: I20240807001044 |
| Provider Name | Kira Hudson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720834617 PECOS PAC ID: 7810436730 Enrollment ID: I20240823000281 |
| Provider Name | Shenay Toles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225208929 PECOS PAC ID: 4284071366 Enrollment ID: I20241024001384 |
| Provider Name | Danielle Reeves |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437910619 PECOS PAC ID: 8426582941 Enrollment ID: I20241106002994 |
| Provider Name | Julia Ullrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285468520 PECOS PAC ID: 5799219457 Enrollment ID: I20241118001514 |
| Provider Name | William David Hughes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093569253 PECOS PAC ID: 4082149083 Enrollment ID: I20241127003862 |
| Provider Name | Ashley Alexis Wilkinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134949639 PECOS PAC ID: 0648706226 Enrollment ID: I20241205002921 |
Center For Psychological Development, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 526 N Martin Ave, Muncie, IN 47303 Phone: 765-287-1922 | |
Freedom Work Counseling And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 E Washington St, Muncie, IN 47305 Phone: 765-273-3224 | |
Patrick M. Moore, Acsw, Lcsw, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1945 W Royale Dr, Muncie, IN 47304 Phone: 765-288-7939 Fax: 765-288-7841 | |
Family Harmony Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 S Ribble Ave, Muncie, IN 47302 Phone: 765-256-1747 | |
Melissa Osner Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1945 W Royale Dr, Muncie, IN 47304 Phone: 765-288-7939 | |
Brave Enough, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3001 N Kent Dr, Muncie, IN 47304 Phone: 765-744-3322 |