| Porter-starke Services Inc. | |
|
2507 Cumberland Dr Valparaiso IN 46383-2503 | |
| (219) 476-4676 | |
| (219) 462-3975 |
| Full Name | Porter-starke Services Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2507 Cumberland Dr, Valparaiso, Indiana |
| Authorized Official Name and Position | Mary K. Idstein (EXECUTIVE VICE PRESIDENT, FINANCE) |
| Authorized Official Contact | 2195313500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Porter-starke Services Inc. 601 Wall St Valparaiso IN 46383-2512 Ph: (219) 531-3500 | Porter-starke Services Inc. 2507 Cumberland Dr Valparaiso IN 46383-2503 Ph: (219) 476-4676 |
| NPI Number | 1689627598 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 06/16/2023 |
| Certification Date | 06/16/2023 |
| Medicare PECOS PAC ID | 1951293554 |
|---|---|
| Medicare Enrollment ID | O20040330000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689627598 | NPI | - | NPPES |
| 100207670A | Medicaid | IN | |
| CB7125 | Other | IN | MEDICARE RAILROAD |
| 000000112682 | Other | IN | ANTHEM |
| Provider Name | Colleen Ryan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649292376 PECOS PAC ID: 0648172247 Enrollment ID: I20040123000646 |
| Provider Name | Roberta Raelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386622751 PECOS PAC ID: 1052203395 Enrollment ID: I20040330000072 |
| Provider Name | Linda G Munson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477542561 PECOS PAC ID: 5698674687 Enrollment ID: I20040804001387 |
| Provider Name | Samir Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861457178 PECOS PAC ID: 5890768907 Enrollment ID: I20040817000825 |
| Provider Name | Debra A Equihua |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396819355 PECOS PAC ID: 6709851611 Enrollment ID: I20040901001197 |
| Provider Name | Vida Mcghee-lewis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083696397 PECOS PAC ID: 2365402039 Enrollment ID: I20041021000001 |
| Provider Name | Roland Walker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891875647 PECOS PAC ID: 2062454820 Enrollment ID: I20050523001047 |
| Provider Name | Mary Krammes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942687009 PECOS PAC ID: 4688602402 Enrollment ID: I20050802000428 |
| Provider Name | Charles F Motley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316948789 PECOS PAC ID: 2365491982 Enrollment ID: I20050823000339 |
| Provider Name | Fadi I Alzeidan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245224724 PECOS PAC ID: 8325072994 Enrollment ID: I20050923000552 |
| Provider Name | Erin R Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780677542 PECOS PAC ID: 4880676865 Enrollment ID: I20060719000210 |
| Provider Name | Syeda K Khatib |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982757373 PECOS PAC ID: 8820196942 Enrollment ID: I20070613000112 |
| Provider Name | Kandyce K Hannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396821344 PECOS PAC ID: 0446345219 Enrollment ID: I20071009000513 |
| Provider Name | Cory E Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669592358 PECOS PAC ID: 9234219569 Enrollment ID: I20071228000000 |
| Provider Name | Michelle Breunig |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1881724730 PECOS PAC ID: 0143394718 Enrollment ID: I20080730000427 |
| Provider Name | Patricia A Mooney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205007127 PECOS PAC ID: 0749356335 Enrollment ID: I20080905000026 |
| Provider Name | Candice J Hunter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790978245 PECOS PAC ID: 7719053941 Enrollment ID: I20080911000399 |
| Provider Name | Melissa Sue Cain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871795047 PECOS PAC ID: 9830266766 Enrollment ID: I20080918000522 |
| Provider Name | Diane E Spoljoric |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134213028 PECOS PAC ID: 4880762624 Enrollment ID: I20081007000646 |
| Provider Name | John M Spores |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730176587 PECOS PAC ID: 5991854432 Enrollment ID: I20090513000008 |
| Provider Name | Dion A Snider |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699750125 PECOS PAC ID: 6002897675 Enrollment ID: I20090810000245 |
| Provider Name | Daniel D.s. Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447240601 PECOS PAC ID: 0648326629 Enrollment ID: I20090916000193 |
| Provider Name | Cynthia M Hoess |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801863972 PECOS PAC ID: 2567509854 Enrollment ID: I20091019000394 |
| Provider Name | Mary Lorraine Malick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578600441 PECOS PAC ID: 6507991312 Enrollment ID: I20100318000627 |
| Provider Name | Lori A Truesdell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730120148 PECOS PAC ID: 2668502576 Enrollment ID: I20100618000535 |
| Provider Name | Janet E Robinson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1467771576 PECOS PAC ID: 0941324503 Enrollment ID: I20100902001092 |
| Provider Name | Mitzi A Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831147362 PECOS PAC ID: 2466647888 Enrollment ID: I20101111000497 |
| Provider Name | J Todd Vanbuskirk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265761779 PECOS PAC ID: 3173719853 Enrollment ID: I20101119000691 |
| Provider Name | Aris Rodel O Abeleda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912185547 PECOS PAC ID: 0547458358 Enrollment ID: I20101221000532 |
| Provider Name | Mitchell Robert Goldstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659335636 PECOS PAC ID: 8527257922 Enrollment ID: I20110118000215 |
| Provider Name | Cary J Banka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972585255 PECOS PAC ID: 8628259215 Enrollment ID: I20110302000785 |
| Provider Name | Jay Timothy Ames |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538158134 PECOS PAC ID: 3375727613 Enrollment ID: I20110411000380 |
| Provider Name | Lisette Haro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205968385 PECOS PAC ID: 2668656562 Enrollment ID: I20110418000181 |
| Provider Name | Jerry Edward Sheward |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518969369 PECOS PAC ID: 4587832951 Enrollment ID: I20110729000636 |
| Provider Name | Anand P Popli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619964814 PECOS PAC ID: 8628960960 Enrollment ID: I20111020000052 |
| Provider Name | Lee M Periolat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417974072 PECOS PAC ID: 3678748399 Enrollment ID: I20111208000199 |
| Provider Name | Amandeep Verma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003194622 PECOS PAC ID: 2466610456 Enrollment ID: I20120222000368 |
| Provider Name | Sajiv John |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457348591 PECOS PAC ID: 4789844895 Enrollment ID: I20120328000085 |
| Provider Name | Sally A Primus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225228828 PECOS PAC ID: 3870754708 Enrollment ID: I20120419000512 |
| Provider Name | Timothy M Mccurdy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528310190 PECOS PAC ID: 5294985230 Enrollment ID: I20121029000030 |
| Provider Name | John R Elsasser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215283767 PECOS PAC ID: 4486894797 Enrollment ID: I20130710000509 |
| Provider Name | Katrina J Bytnar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467895151 PECOS PAC ID: 6901049857 Enrollment ID: I20130826000589 |
| Provider Name | Laura Uzelac |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699114033 PECOS PAC ID: 7012151863 Enrollment ID: I20130917000226 |
| Provider Name | Jacqueline M Gasparovic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962538744 PECOS PAC ID: 3375777121 Enrollment ID: I20131009001748 |
| Provider Name | Otito Nnebundo Aronu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932365913 PECOS PAC ID: 8820223795 Enrollment ID: I20131030001405 |
| Provider Name | Kobie I Douglas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497850663 PECOS PAC ID: 2860458536 Enrollment ID: I20131115000035 |
| Provider Name | Susan Rizer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932181955 PECOS PAC ID: 4183854391 Enrollment ID: I20140310001727 |
| Provider Name | Maritza Wysocki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386946937 PECOS PAC ID: 6103057039 Enrollment ID: I20140318001282 |
| Provider Name | Ti-yon Emil Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841628047 PECOS PAC ID: 0941423123 Enrollment ID: I20140515000089 |
| Provider Name | Lauren Reimink |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578996443 PECOS PAC ID: 9234354762 Enrollment ID: I20140625002060 |
| Provider Name | Claudette R Dandridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821101957 PECOS PAC ID: 8123245636 Enrollment ID: I20140806002723 |
| Provider Name | Donna P Peters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215367966 PECOS PAC ID: 4486971132 Enrollment ID: I20150318000880 |
| Provider Name | Melissa Mary Ilg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225083371 PECOS PAC ID: 5496762486 Enrollment ID: I20150619000670 |
| Provider Name | Maria V Gornostaeva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568700870 PECOS PAC ID: 9133433170 Enrollment ID: I20150804004409 |
| Provider Name | Stephanie O Bandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306224597 PECOS PAC ID: 0941511380 Enrollment ID: I20151124000620 |
| Provider Name | Douge Barthelemy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942313366 PECOS PAC ID: 7618910159 Enrollment ID: I20160127001804 |
| Provider Name | Staci N Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780044537 PECOS PAC ID: 7012214166 Enrollment ID: I20160405000469 |
| Provider Name | Lolita O Ang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548536196 PECOS PAC ID: 2567761133 Enrollment ID: I20160503001371 |
| Provider Name | Irene Ortiz Verduzco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275997504 PECOS PAC ID: 6507155819 Enrollment ID: I20160510000581 |
| Provider Name | Sheila Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043614035 PECOS PAC ID: 2466749866 Enrollment ID: I20160929000189 |
| Provider Name | Belinda J Lafferty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568632339 PECOS PAC ID: 4183904345 Enrollment ID: I20161205000808 |
| Provider Name | Shawna S Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154863199 PECOS PAC ID: 0244512424 Enrollment ID: I20170124000461 |
| Provider Name | Marissa Maciel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437571171 PECOS PAC ID: 3072895135 Enrollment ID: I20170125000701 |
| Provider Name | Marshall James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134179963 PECOS PAC ID: 6305858747 Enrollment ID: I20170307001919 |
| Provider Name | Grant Burdeau |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275071466 PECOS PAC ID: 2668740754 Enrollment ID: I20170614000280 |
| Provider Name | Elizabeth A Aguayo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942287289 PECOS PAC ID: 0042430225 Enrollment ID: I20170816004428 |
| Provider Name | Dante Brown |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104277516 PECOS PAC ID: 6507130614 Enrollment ID: I20170929001327 |
| Provider Name | Brenda Kay O'shea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538506522 PECOS PAC ID: 8022384296 Enrollment ID: I20171017000913 |
| Provider Name | Quynh Chau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053787176 PECOS PAC ID: 3173874260 Enrollment ID: I20181001000184 |
| Provider Name | Andrea Lynn Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184104853 PECOS PAC ID: 7719230671 Enrollment ID: I20181024000366 |
| Provider Name | Victoria Rae Redar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245507169 PECOS PAC ID: 1355689712 Enrollment ID: I20190208002035 |
| Provider Name | Mindy Kay Krsak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912462664 PECOS PAC ID: 3779821855 Enrollment ID: I20190215000084 |
| Provider Name | Amanda Joy Dech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013479260 PECOS PAC ID: 2668715467 Enrollment ID: I20190517002310 |
| Provider Name | Channae Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578115234 PECOS PAC ID: 1850628009 Enrollment ID: I20190809001865 |
| Provider Name | Leigh Westergren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386156263 PECOS PAC ID: 1759611718 Enrollment ID: I20190918001708 |
| Provider Name | Lisa M Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063872109 PECOS PAC ID: 5597062273 Enrollment ID: I20200326000496 |
| Provider Name | David Andres Castro |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841557733 PECOS PAC ID: 0840621215 Enrollment ID: I20200519002132 |
| Provider Name | Erica L Corradino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699390872 PECOS PAC ID: 7810310539 Enrollment ID: I20200713003490 |
| Provider Name | Onaija Bryant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134275035 PECOS PAC ID: 1557498409 Enrollment ID: I20210824002000 |
| Provider Name | Taylor Marie Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598434037 PECOS PAC ID: 2668860685 Enrollment ID: I20211025002009 |
| Provider Name | Kate A O'farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750053526 PECOS PAC ID: 2466843487 Enrollment ID: I20211231000015 |
| Provider Name | Annemarie Rini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740909811 PECOS PAC ID: 4082090881 Enrollment ID: I20221003000261 |
| Provider Name | Riley Otten Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891428124 PECOS PAC ID: 2062889405 Enrollment ID: I20221027002800 |
| Provider Name | Jihan Doss |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1962958330 PECOS PAC ID: 0244519783 Enrollment ID: I20221103002384 |
| Provider Name | Micah Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609567957 PECOS PAC ID: 9638532435 Enrollment ID: I20230828000206 |
| Provider Name | Branda-lee Maurushes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073398244 PECOS PAC ID: 2567817695 Enrollment ID: I20231010002874 |
| Provider Name | Natalie Marie Sheets |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295484533 PECOS PAC ID: 9739537218 Enrollment ID: I20231121003377 |
| Provider Name | Nicholas Wardell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609257351 PECOS PAC ID: 2163870650 Enrollment ID: I20231121003564 |
| Provider Name | Amber C. Liddick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356730071 PECOS PAC ID: 9931557444 Enrollment ID: I20231122000194 |
| Provider Name | Kristy Steiner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619587607 PECOS PAC ID: 3577911080 Enrollment ID: I20231122000197 |
| Provider Name | Rodney Ensley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659629210 PECOS PAC ID: 1456709989 Enrollment ID: I20231122001062 |
| Provider Name | Dana Zega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649043191 PECOS PAC ID: 7618326513 Enrollment ID: I20231216000215 |
| Provider Name | Sarah Marie Wurster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245912138 PECOS PAC ID: 5799134664 Enrollment ID: I20231218003058 |
| Provider Name | Crystal Nicole Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639879570 PECOS PAC ID: 6103276019 Enrollment ID: I20231219000681 |
| Provider Name | Maegan Glass |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043817430 PECOS PAC ID: 7517317191 Enrollment ID: I20231221003718 |
| Provider Name | Andrew Manning |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609154863 PECOS PAC ID: 5991157737 Enrollment ID: I20240117004189 |
| Provider Name | Krystal Mulzon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104693779 PECOS PAC ID: 4183067036 Enrollment ID: I20240207002206 |
| Provider Name | Sara Kish |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407625916 PECOS PAC ID: 9537502182 Enrollment ID: I20240209003795 |
| Provider Name | Kimberly Hart |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972197200 PECOS PAC ID: 0941641344 Enrollment ID: I20240516001803 |
| Provider Name | Jacob Franklin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912460973 PECOS PAC ID: 6800137118 Enrollment ID: I20240531002264 |
Zachary Burns, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Morgan Blvd, Valparaiso, IN 46383 Phone: 219-916-2521 Fax: 219-462-4741 | |
Hart Behavior Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 731 W Marrew Pl, Valparaiso, IN 46383 Phone: 219-476-5809 | |
Comprehensive Neurology Care, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Wall St Ste 104, Valparaiso, IN 46383 Phone: 219-531-6571 | |
Neurology Associates Of Northwest Indiana, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1551 Sturdy Rd, Valparaiso, IN 46383 Phone: 219-548-0235 Fax: 219-548-8366 | |
Gerald Lewis Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Murvihill Rd, Valparaiso, IN 46383 Phone: 219-286-3907 Fax: 219-286-3911 | |
New Beginnings Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 793-1 Juniper Rd, Valparaiso, IN 46385 Phone: 219-203-2343 | |
Nzinga Mind And Heart Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5 Washington St Ste 300, Valparaiso, IN 46383 Phone: 866-220-0238 Fax: 866-220-0238 |