Southern Hills Counseling Center, Inc. | |
480 Eversman Dr Jasper IN 47546-3548 | |
(812) 482-3020 | |
(812) 482-6409 |
Full Name | Southern Hills Counseling Center, Inc. |
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Speciality | Psychologist |
Location | 480 Eversman Dr, Jasper, Indiana |
Authorized Official Name and Position | Richard Kent Whitaker (ASSOCIATE DIRECTOR/CFO) |
Authorized Official Contact | 8124823020 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Southern Hills Counseling Center, Inc. Po Box 769 Jasper IN 47547-0769 Ph: (812) 482-3020 | Southern Hills Counseling Center, Inc. 480 Eversman Dr Jasper IN 47546-3548 Ph: (812) 482-3020 |
NPI Number | 1134118276 |
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Provider Enumeration Date | 10/20/2005 |
Last Update Date | 10/30/2013 |
Medicare PECOS PAC ID | 5496642555 |
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Medicare Enrollment ID | O20040303000105 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134118276 | NPI | - | NPPES |
100108710 | Medicaid | IN |
Provider Name | Gregory T Pfister |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639176563 PECOS PAC ID: 3173410255 Enrollment ID: I20040303000210 |
Provider Name | Julia K Hyland |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1235129719 PECOS PAC ID: 5395721633 Enrollment ID: I20040628000023 |
Provider Name | Michelle M Emmons |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831189661 PECOS PAC ID: 2961489372 Enrollment ID: I20040702000897 |
Provider Name | Stacy J Moore-nolan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649260522 PECOS PAC ID: 0143277863 Enrollment ID: I20050405000925 |
Provider Name | Elizabeth A Grant |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1780744698 PECOS PAC ID: 3274630082 Enrollment ID: I20070511000537 |
Provider Name | Brandy R Terrell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730274580 PECOS PAC ID: 5193822427 Enrollment ID: I20070522000443 |
Provider Name | Mary Burgeson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972565026 PECOS PAC ID: 2860410206 Enrollment ID: I20070821000093 |
Provider Name | Christina M Beeler |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992976914 PECOS PAC ID: 9537233614 Enrollment ID: I20080807000398 |
Provider Name | John L Eckard |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083603187 PECOS PAC ID: 6406906098 Enrollment ID: I20090602000212 |
Provider Name | Dana J Parker |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063592855 PECOS PAC ID: 8022168566 Enrollment ID: I20090604000188 |
Provider Name | Jessica L Cooper |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063628410 PECOS PAC ID: 4688713316 Enrollment ID: I20091209000261 |
Provider Name | Teresa J Faulkner |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568795870 PECOS PAC ID: 6608917679 Enrollment ID: I20100113000291 |
Provider Name | Jane E Parker |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1285745380 PECOS PAC ID: 3870634710 Enrollment ID: I20100114000069 |
Provider Name | Deborah D Kercheval |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1316045768 PECOS PAC ID: 6204950074 Enrollment ID: I20100831000492 |
Provider Name | Timothy L Knight |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1790775500 PECOS PAC ID: 9537331848 Enrollment ID: I20111011000139 |
Provider Name | Amber F Linne |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588962377 PECOS PAC ID: 2365616711 Enrollment ID: I20111121000276 |
Provider Name | Sheila Wright |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659629665 PECOS PAC ID: 9739338179 Enrollment ID: I20120928000706 |
Provider Name | Rebecca L Michael |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790094324 PECOS PAC ID: 1456597186 Enrollment ID: I20130424000751 |
Provider Name | Brett V Hurm |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1265743868 PECOS PAC ID: 0143456251 Enrollment ID: I20131120000857 |
Provider Name | Yokesh Balaraman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1134431927 PECOS PAC ID: 1456597236 Enrollment ID: I20150108001505 |
Provider Name | Barbara J Conner |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992081236 PECOS PAC ID: 3375864937 Enrollment ID: I20150608001486 |
Provider Name | Patricia A Altman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437605193 PECOS PAC ID: 1658648357 Enrollment ID: I20170601000134 |
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