| Oaklawn Psychiatric Center, Inc. | |
|
2600 Oakland Ave Elkhart IN 46517-1533 | |
| (574) 533-1234 | |
| (574) 537-2652 |
| Full Name | Oaklawn Psychiatric Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2600 Oakland Ave, Elkhart, Indiana |
| Authorized Official Name and Position | Lynn J. Miller (V.P. - FINANCE, C.F.O.) |
| Authorized Official Contact | 5745331234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oaklawn Psychiatric Center, Inc. 330 Lakeview Dr Goshen IN 46528-9365 Ph: (574) 533-1234 | Oaklawn Psychiatric Center, Inc. 2600 Oakland Ave Elkhart IN 46517-1533 Ph: (574) 533-1234 |
| NPI Number | 1598847212 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 08/17/2011 |
| Medicare PECOS PAC ID | 6002801065 |
|---|---|
| Medicare Enrollment ID | O20040419000647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598847212 | NPI | - | NPPES |
| 000000097755 | Other | IN | BLUE CROSS |
| CB2281 | Other | IN | RAILROAD MEDICARE |
| 100111390 | Medicaid | IN | |
| DB1691 | Other | IN | RAILROAD MEDICARE |
| 351 | Other | IN | CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 409-0-CMHC (Indiana) | Primary |
| Provider Name | Jodi Carbone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528500154 PECOS PAC ID: 1254394372 Enrollment ID: I20041110000134 |
| Provider Name | Lisa R Triplett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861428708 PECOS PAC ID: 2163479650 Enrollment ID: I20050406001030 |
| Provider Name | Manana Gegeshidze |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598786493 PECOS PAC ID: 9739111956 Enrollment ID: I20050908000254 |
| Provider Name | Michael O Reed |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629144043 PECOS PAC ID: 4789608332 Enrollment ID: I20060123000068 |
| Provider Name | Robin Marie Ebright Zehr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225178155 PECOS PAC ID: 8224126644 Enrollment ID: I20071119000641 |
| Provider Name | Judy K Snyder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326074352 PECOS PAC ID: 5395823603 Enrollment ID: I20080425000511 |
| Provider Name | Kent A Hershberger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992749709 PECOS PAC ID: 5193880748 Enrollment ID: I20090213000234 |
| Provider Name | Jane A Vernon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821239831 PECOS PAC ID: 2163570623 Enrollment ID: I20090814000217 |
| Provider Name | Mary Henehan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184673766 PECOS PAC ID: 4082754023 Enrollment ID: I20091222000613 |
| Provider Name | David O Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184623027 PECOS PAC ID: 8729121736 Enrollment ID: I20100129000404 |
| Provider Name | Jonathan Graber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770527285 PECOS PAC ID: 2668666934 Enrollment ID: I20101101000127 |
| Provider Name | Shagufta J Chowhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881669695 PECOS PAC ID: 0749476745 Enrollment ID: I20101201001119 |
| Provider Name | Susan M Taccheri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073546362 PECOS PAC ID: 4183812811 Enrollment ID: I20101222000742 |
| Provider Name | Timothy Mcfadden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861432346 PECOS PAC ID: 4284814047 Enrollment ID: I20110210000809 |
| Provider Name | Kathleen A Bondi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801861612 PECOS PAC ID: 7911180401 Enrollment ID: I20110321000789 |
| Provider Name | Cindy S Schulz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598732406 PECOS PAC ID: 5698958981 Enrollment ID: I20110324000005 |
| Provider Name | Brenda L Chupp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932175197 PECOS PAC ID: 7315120409 Enrollment ID: I20110328000361 |
| Provider Name | Amy Spurgeon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548201320 PECOS PAC ID: 6608051156 Enrollment ID: I20110426000737 |
| Provider Name | Jeffrey L Kauffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235161282 PECOS PAC ID: 4082873104 Enrollment ID: I20120309000194 |
| Provider Name | Elizabeth A O'connor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366571119 PECOS PAC ID: 1658535505 Enrollment ID: I20120622000083 |
| Provider Name | Michael B Platt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588801500 PECOS PAC ID: 6406002351 Enrollment ID: I20120808000322 |
| Provider Name | Thomas Keller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376817510 PECOS PAC ID: 2466608278 Enrollment ID: I20120810000233 |
| Provider Name | Roohi Bano-sualeh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477727477 PECOS PAC ID: 3375795552 Enrollment ID: I20121217000030 |
| Provider Name | Shirley K Dick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558706358 PECOS PAC ID: 7517109606 Enrollment ID: I20130820000913 |
| Provider Name | Janelle Christensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740421726 PECOS PAC ID: 1759525041 Enrollment ID: I20130927000048 |
| Provider Name | Lynn Bowman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710279864 PECOS PAC ID: 5294969226 Enrollment ID: I20131007001228 |
| Provider Name | Angie R Lok |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851659544 PECOS PAC ID: 7810126612 Enrollment ID: I20140127000334 |
| Provider Name | Krista Brucker |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1497076376 PECOS PAC ID: 3779713383 Enrollment ID: I20140227000935 |
| Provider Name | Kristin Tawadros |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629400643 PECOS PAC ID: 9638300676 Enrollment ID: I20140315000330 |
| Provider Name | Sarah Elizabeth Keel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073741401 PECOS PAC ID: 3072736156 Enrollment ID: I20140715000947 |
| Provider Name | Carmela R Cowdrey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396060539 PECOS PAC ID: 5799901716 Enrollment ID: I20140729000957 |
| Provider Name | Nicholas Kramer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720304868 PECOS PAC ID: 7810114766 Enrollment ID: I20140816000102 |
| Provider Name | Dora Martin-eash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790005007 PECOS PAC ID: 5496974404 Enrollment ID: I20140923002206 |
| Provider Name | Tina Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861720872 PECOS PAC ID: 0648490912 Enrollment ID: I20141008002176 |
| Provider Name | Kenya M Kidder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366724312 PECOS PAC ID: 5193946127 Enrollment ID: I20141016001034 |
| Provider Name | Charlotte Hochstetler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841233020 PECOS PAC ID: 2567766827 Enrollment ID: I20160205001853 |
| Provider Name | Amy L King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437516325 PECOS PAC ID: 5698070084 Enrollment ID: I20160223001394 |
| Provider Name | Jayanthi R Sarma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972615029 PECOS PAC ID: 8628037918 Enrollment ID: I20160415000634 |
| Provider Name | Lisa A Kirkton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669920146 PECOS PAC ID: 7618256926 Enrollment ID: I20161109000804 |
| Provider Name | Monica Brock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043743602 PECOS PAC ID: 8628336351 Enrollment ID: I20171229000211 |
| Provider Name | Rolando Sosa Granados |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942648456 PECOS PAC ID: 4981964269 Enrollment ID: I20180206000496 |
| Provider Name | Adam Hartman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942578992 PECOS PAC ID: 5597026120 Enrollment ID: I20180222002189 |
| Provider Name | Krystie Comer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396141032 PECOS PAC ID: 6406101344 Enrollment ID: I20180619000169 |
| Provider Name | Karen Esperanza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487153268 PECOS PAC ID: 7113273301 Enrollment ID: I20180629002625 |
| Provider Name | Lisa A Levin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760620090 PECOS PAC ID: 6901043314 Enrollment ID: I20180912001496 |
| Provider Name | Jeffrey Apn Richmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255816831 PECOS PAC ID: 6800132507 Enrollment ID: I20190117001929 |
| Provider Name | Jennifer Dickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689146151 PECOS PAC ID: 2961741699 Enrollment ID: I20190225001837 |
| Provider Name | Matthew Reese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437600178 PECOS PAC ID: 1951640333 Enrollment ID: I20190301000422 |
| Provider Name | Kenneth Craig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366988537 PECOS PAC ID: 9133468499 Enrollment ID: I20190304001604 |
| Provider Name | Jon-erk Misz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639535826 PECOS PAC ID: 4082954391 Enrollment ID: I20190325001304 |
| Provider Name | Max Allen Schut |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932768777 PECOS PAC ID: 0749514123 Enrollment ID: I20190619002453 |
| Provider Name | Michelle Haggart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528211315 PECOS PAC ID: 8123280625 Enrollment ID: I20190826002294 |
| Provider Name | Valerie Golden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306056551 PECOS PAC ID: 2567792740 Enrollment ID: I20191001003557 |
| Provider Name | Jacquelyn Lamont |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811345408 PECOS PAC ID: 6406288539 Enrollment ID: I20191112000498 |
| Provider Name | Daniel Vega-lescano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851797591 PECOS PAC ID: 1153754874 Enrollment ID: I20191210001592 |
| Provider Name | Sarah Rospenda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407497340 PECOS PAC ID: 5597198218 Enrollment ID: I20191210001689 |
| Provider Name | Brooke Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629529326 PECOS PAC ID: 1254766355 Enrollment ID: I20200118000110 |
| Provider Name | Cheryl Bauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669971461 PECOS PAC ID: 6800212887 Enrollment ID: I20200803003011 |
| Provider Name | Kelli L Liechty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689861809 PECOS PAC ID: 0345660494 Enrollment ID: I20201012002267 |
| Provider Name | Kathryn M Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437533361 PECOS PAC ID: 5496165417 Enrollment ID: I20201103001588 |
| Provider Name | Jona Vitela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598257016 PECOS PAC ID: 7618388687 Enrollment ID: I20201123002218 |
| Provider Name | Mary Ngugi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972106615 PECOS PAC ID: 2769894161 Enrollment ID: I20201208003081 |
| Provider Name | Sydney Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205308574 PECOS PAC ID: 8921412354 Enrollment ID: I20210127000140 |
| Provider Name | Mathew S Peters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245840040 PECOS PAC ID: 8022423102 Enrollment ID: I20210223002271 |
| Provider Name | Julianne Repczynski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265930317 PECOS PAC ID: 2466869235 Enrollment ID: I20210323000146 |
| Provider Name | Angela Hankins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437636768 PECOS PAC ID: 1759782121 Enrollment ID: I20210623003153 |
| Provider Name | Eric Eugene Spohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104580711 PECOS PAC ID: 8022407774 Enrollment ID: I20211118000331 |
| Provider Name | Elizabeth Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801559307 PECOS PAC ID: 8729477328 Enrollment ID: I20211122000908 |
| Provider Name | Brandy Burt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902575145 PECOS PAC ID: 9638569437 Enrollment ID: I20211210000570 |
| Provider Name | Nicole Slagel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629608880 PECOS PAC ID: 3971994773 Enrollment ID: I20220105002751 |
| Provider Name | Nicholas A Catapano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851046981 PECOS PAC ID: 6709271471 Enrollment ID: I20220315002305 |
| Provider Name | Sarah Horst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336888601 PECOS PAC ID: 8820479124 Enrollment ID: I20220718003175 |
| Provider Name | Kimberly Neff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407883515 PECOS PAC ID: 7113393307 Enrollment ID: I20221012003185 |
| Provider Name | Tabitha Gabbard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881252641 PECOS PAC ID: 2163890120 Enrollment ID: I20221122002355 |
| Provider Name | Ryan Peachey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275102287 PECOS PAC ID: 0446621643 Enrollment ID: I20230126001773 |
| Provider Name | Emily Schrock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013516475 PECOS PAC ID: 3577938570 Enrollment ID: I20230405000332 |
| Provider Name | Julie Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285348425 PECOS PAC ID: 4385009273 Enrollment ID: I20230427002801 |
| Provider Name | Lauren Boyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386241941 PECOS PAC ID: 3870959976 Enrollment ID: I20230516001165 |
| Provider Name | Elizabeth Nussbaum-gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932746989 PECOS PAC ID: 9436519642 Enrollment ID: I20230720000255 |
| Provider Name | Victoria Ong-murrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205515244 PECOS PAC ID: 4486016078 Enrollment ID: I20230814002974 |
| Provider Name | Cristina Valdez-jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245809268 PECOS PAC ID: 2062866635 Enrollment ID: I20230930000368 |
| Provider Name | Ellyssa Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811532328 PECOS PAC ID: 1254786577 Enrollment ID: I20231006000216 |
| Provider Name | Stacey Closson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588630966 PECOS PAC ID: 2062860117 Enrollment ID: I20231129003055 |
| Provider Name | Madison Cyr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083487151 PECOS PAC ID: 1951759075 Enrollment ID: I20231130001620 |
| Provider Name | Carol Derucki |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831421668 PECOS PAC ID: 9638527682 Enrollment ID: I20231130003236 |
| Provider Name | Rebecca Loth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891267704 PECOS PAC ID: 6204284250 Enrollment ID: I20231130003565 |
| Provider Name | Kayona Pates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225674781 PECOS PAC ID: 5799133559 Enrollment ID: I20231205000834 |
| Provider Name | Rickard Eby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285940858 PECOS PAC ID: 2567810336 Enrollment ID: I20231205001053 |
| Provider Name | Helen Gentz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487127627 PECOS PAC ID: 0042669855 Enrollment ID: I20231205003021 |
| Provider Name | Trevor Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871139345 PECOS PAC ID: 4385093806 Enrollment ID: I20231209000238 |
| Provider Name | Robert Balliet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710550603 PECOS PAC ID: 9638529274 Enrollment ID: I20231222002103 |
| Provider Name | Tyler Kronk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194255794 PECOS PAC ID: 4183077886 Enrollment ID: I20240130002400 |
| Provider Name | Kristina Partridge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619576444 PECOS PAC ID: 7012360589 Enrollment ID: I20240131003421 |
| Provider Name | Jayme Culwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639704265 PECOS PAC ID: 7113360496 Enrollment ID: I20240205001149 |
| Provider Name | Xenia D Jordan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881247757 PECOS PAC ID: 7810394939 Enrollment ID: I20240226002790 |
| Provider Name | Krystal Kalb-weldy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467706499 PECOS PAC ID: 9931544236 Enrollment ID: I20240227000428 |
| Provider Name | Larissa Valdez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396388385 PECOS PAC ID: 8224473459 Enrollment ID: I20240228000462 |
| Provider Name | Cassandra Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750824801 PECOS PAC ID: 8022453083 Enrollment ID: I20240229001058 |
| Provider Name | Brooke Gittings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780061200 PECOS PAC ID: 1254776065 Enrollment ID: I20240304000752 |
| Provider Name | Tyler Borsa |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952880270 PECOS PAC ID: 7911343231 Enrollment ID: I20240308003049 |
| Provider Name | Rachel Defrancesco |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194025031 PECOS PAC ID: 7416396809 Enrollment ID: I20240418000776 |
| Provider Name | Conner Elonich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730842543 PECOS PAC ID: 3476095936 Enrollment ID: I20240612000668 |
Psychological & Family Consultants Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 926 E Jackson Blvd, Elkhart, IN 46516 Phone: 574-522-6292 Fax: 574-522-0481 | |
Serenidad Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Waterfall Dr Ste D, Elkhart, IN 46516 Phone: 574-205-9560 Fax: 574-544-5960 | |
Arlen W. Epp Mdiv, Msw, Lcsw, Counseling And Coaching Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3040a Windsor Ct, Elkhart, IN 46514 Phone: 574-262-9305 Fax: 574-262-9516 | |
Bonhomie Counseling Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 W Lexington Ave, Suite 206, Elkhart, IN 46516 Phone: 574-293-5991 Fax: 574-293-5429 | |
Firm Foundation Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 W Bristol St, Elkhart, IN 46514 Phone: 574-402-1400 | |
Terri Rumfelt Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1218 Clarinet Blvd E, Elkhart, IN 46516 Phone: 574-361-0421 | |
Lexington House Of Elkhart, In Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2626 Prairie St, Elkhart, IN 46517 Phone: 574-326-0846 |