| Valley Oaks Health Inc | |
|
415 N 26th Street Suite 201 Lafayette IN 47904-2856 | |
| (765) 446-6535 | |
| (765) 446-6536 |
| Full Name | Valley Oaks Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 415 N 26th Street, Lafayette, Indiana |
| Authorized Official Name and Position | Thomas L. Gilliom (CEO) |
| Authorized Official Contact | 7654466535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Oaks Health Inc 415 N 26th Street Suite 201 Lafayette IN 47904-2856 Ph: (765) 446-6535 | Valley Oaks Health Inc 415 N 26th Street Suite 201 Lafayette IN 47904-2856 Ph: (765) 446-6535 |
| NPI Number | 1689629990 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Medicare PECOS PAC ID | 7315927563 |
|---|---|
| Medicare Enrollment ID | O20040720001286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689629990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Molly Wasson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760600944 PECOS PAC ID: 6002886595 Enrollment ID: I20040730000781 |
| Provider Name | Fadia T Aldahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184616294 PECOS PAC ID: 0345214367 Enrollment ID: I20040824001208 |
| Provider Name | Lou Ann Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194841023 PECOS PAC ID: 0143296780 Enrollment ID: I20040907000132 |
| Provider Name | Vernon L Little |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164512430 PECOS PAC ID: 3476579954 Enrollment ID: I20051024000746 |
| Provider Name | Donna Maria Bard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912925827 PECOS PAC ID: 4688682354 Enrollment ID: I20060323000017 |
| Provider Name | Debora A Nygren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487616108 PECOS PAC ID: 9931118726 Enrollment ID: I20060405000618 |
| Provider Name | Lori J Rogers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558335323 PECOS PAC ID: 3375647662 Enrollment ID: I20070326000441 |
| Provider Name | Jill E Shelby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467482570 PECOS PAC ID: 1153427323 Enrollment ID: I20070504000011 |
| Provider Name | Brent A Clemenz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710003363 PECOS PAC ID: 0941395032 Enrollment ID: I20071004000317 |
| Provider Name | Patricia R Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598956211 PECOS PAC ID: 6002901824 Enrollment ID: I20071009000006 |
| Provider Name | Lorinda E Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659558096 PECOS PAC ID: 5890879407 Enrollment ID: I20080220000705 |
| Provider Name | Dawn A Lorton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538350517 PECOS PAC ID: 2567540966 Enrollment ID: I20080425000369 |
| Provider Name | Jennifer Uhl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588825574 PECOS PAC ID: 0648342352 Enrollment ID: I20080711000279 |
| Provider Name | Megan Anne Mahoney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659347011 PECOS PAC ID: 0143378323 Enrollment ID: I20090427000491 |
| Provider Name | Melissa A Gwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124278569 PECOS PAC ID: 1254482961 Enrollment ID: I20090619000078 |
| Provider Name | Michelle K Boswell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649404948 PECOS PAC ID: 2163569047 Enrollment ID: I20091026000488 |
| Provider Name | Keith A Brehob |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114231917 PECOS PAC ID: 9638293574 Enrollment ID: I20100830001147 |
| 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 | Elizabeth A Matheson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306020813 PECOS PAC ID: 3779608716 Enrollment ID: I20100915000291 |
| Provider Name | Zeinab M Tobaa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154477891 PECOS PAC ID: 5092902585 Enrollment ID: I20101209000787 |
| Provider Name | Dale A Crowder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154477800 PECOS PAC ID: 9133317480 Enrollment ID: I20101230000627 |
| Provider Name | Loretta A Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407154412 PECOS PAC ID: 2264614544 Enrollment ID: I20110308000365 |
| Provider Name | Cassandra Owens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831374073 PECOS PAC ID: 2860653607 Enrollment ID: I20120423000176 |
| Provider Name | Courtenay A Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093824815 PECOS PAC ID: 9830348911 Enrollment ID: I20121004000592 |
| Provider Name | Melissa A Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346689916 PECOS PAC ID: 4981848462 Enrollment ID: I20130924000287 |
| Provider Name | Monique S Kulkarni |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811275308 PECOS PAC ID: 9537395736 Enrollment ID: I20131118000994 |
| Provider Name | Sirrena Piercy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275880437 PECOS PAC ID: 8426285263 Enrollment ID: I20131226000445 |
| Provider Name | Theodore P Eckerle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588075949 PECOS PAC ID: 0345463808 Enrollment ID: I20140602001350 |
| Provider Name | Olvia Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184922395 PECOS PAC ID: 5395962963 Enrollment ID: I20140806000985 |
| Provider Name | Leslie M Pell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699176800 PECOS PAC ID: 1254551260 Enrollment ID: I20140925000551 |
| Provider Name | Derek W Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568852986 PECOS PAC ID: 8022335413 Enrollment ID: I20150324000521 |
| Provider Name | Marina Bota |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164430831 PECOS PAC ID: 8325083801 Enrollment ID: I20150812006873 |
| Provider Name | Michelle L Vorice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780884429 PECOS PAC ID: 5597071233 Enrollment ID: I20150826001359 |
| Provider Name | Stephanie D Rose |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750743373 PECOS PAC ID: 2567760416 Enrollment ID: I20160411001089 |
| Provider Name | Nicholas K Piotrowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134440803 PECOS PAC ID: 7618283722 Enrollment ID: I20160609000278 |
| Provider Name | Amber D Bodak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144679432 PECOS PAC ID: 6608167085 Enrollment ID: I20160614002494 |
| Provider Name | Margaret K Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346798881 PECOS PAC ID: 0345528972 Enrollment ID: I20161101002235 |
| Provider Name | Kaylynn D Keedy-ransphach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093257594 PECOS PAC ID: 9133409030 Enrollment ID: I20161212001490 |
| Provider Name | Rachel Ploskonka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235655598 PECOS PAC ID: 7618240367 Enrollment ID: I20170831002854 |
| Provider Name | Vickie Sue Allison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124546767 PECOS PAC ID: 9739455163 Enrollment ID: I20171030001478 |
| Provider Name | Kelli A Conlon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255846697 PECOS PAC ID: 4688932999 Enrollment ID: I20171214001409 |
| Provider Name | Tracy Lee Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568753127 PECOS PAC ID: 3577795327 Enrollment ID: I20180220002370 |
| Provider Name | Elizabeth A Mcquinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053780718 PECOS PAC ID: 7517276678 Enrollment ID: I20180322001326 |
| Provider Name | Amber L Rupert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720585565 PECOS PAC ID: 0345503835 Enrollment ID: I20180416001363 |
| Provider Name | Lisa Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932690955 PECOS PAC ID: 3779838487 Enrollment ID: I20180621000778 |
| Provider Name | Melissa Hope Nice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407807134 PECOS PAC ID: 0446590194 Enrollment ID: I20190318000497 |
| Provider Name | Juan R Jaramillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568579670 PECOS PAC ID: 7315993888 Enrollment ID: I20190319003070 |
| Provider Name | Monica Slemin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649736893 PECOS PAC ID: 7416298278 Enrollment ID: I20190404002771 |
| Provider Name | Analei Marie Whitlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598926719 PECOS PAC ID: 2466691043 Enrollment ID: I20190720000053 |
| Provider Name | Shana K Funk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316120801 PECOS PAC ID: 2769710755 Enrollment ID: I20190829001162 |
| Provider Name | Krista Erin Nestlehut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629630900 PECOS PAC ID: 3476881467 Enrollment ID: I20190829001246 |
| Provider Name | Molly A Douglass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215576764 PECOS PAC ID: 3971932039 Enrollment ID: I20200411000747 |
| Provider Name | Wesley David Runkle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437445046 PECOS PAC ID: 4587086574 Enrollment ID: I20200619002515 |
| Provider Name | Brittany Lynn Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730724295 PECOS PAC ID: 6800212879 Enrollment ID: I20200820003154 |
| Provider Name | Lindsey Marie Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366998346 PECOS PAC ID: 1456778844 Enrollment ID: I20200831002370 |
| Provider Name | Brooke Lavignette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548875669 PECOS PAC ID: 9436578713 Enrollment ID: I20201006002590 |
| Provider Name | Kylee Slade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144830449 PECOS PAC ID: 0547670424 Enrollment ID: I20201104000776 |
| Provider Name | Aus Aburashed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033529847 PECOS PAC ID: 0648528240 Enrollment ID: I20210106001680 |
| Provider Name | Cara Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174110571 PECOS PAC ID: 4789098369 Enrollment ID: I20210121001772 |
| Provider Name | Kassandra Kathleen Yarbrough |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447761275 PECOS PAC ID: 0547674137 Enrollment ID: I20210121002022 |
| Provider Name | Alisha Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952990731 PECOS PAC ID: 9537573860 Enrollment ID: I20210128001304 |
| Provider Name | Jennifer Hardwick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245492941 PECOS PAC ID: 9335389345 Enrollment ID: I20210506001655 |
| Provider Name | Meladie A Langham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154633550 PECOS PAC ID: 7810397353 Enrollment ID: I20210621001544 |
| Provider Name | Maham Mahmood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164956512 PECOS PAC ID: 9830445055 Enrollment ID: I20210812003234 |
| Provider Name | Amanda Michelle Christmas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235804261 PECOS PAC ID: 8628474467 Enrollment ID: I20210902002230 |
| Provider Name | Jennifer Vandivier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205506557 PECOS PAC ID: 9537566260 Enrollment ID: I20210923001211 |
| Provider Name | Carol Callahan Lancaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992280960 PECOS PAC ID: 4981093994 Enrollment ID: I20211112002010 |
| Provider Name | Syed Abdul Hannan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265196695 PECOS PAC ID: 3870985070 Enrollment ID: I20220120002074 |
| Provider Name | Ashlynn Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386386985 PECOS PAC ID: 4284011305 Enrollment ID: I20220511001221 |
| Provider Name | Brianna Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356080816 PECOS PAC ID: 4486033784 Enrollment ID: I20220616001308 |
| Provider Name | Megan Claudine Moriarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285306332 PECOS PAC ID: 2466835194 Enrollment ID: I20220812003017 |
| Provider Name | Norah Lunga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215681630 PECOS PAC ID: 4981087186 Enrollment ID: I20220822001700 |
| Provider Name | Dori L Grace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609502913 PECOS PAC ID: 8224412580 Enrollment ID: I20220906001104 |
| Provider Name | Kimberly D Denton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447988720 PECOS PAC ID: 5890179964 Enrollment ID: I20220908003529 |
| Provider Name | Tamara Leanne Mischel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265155857 PECOS PAC ID: 5799161162 Enrollment ID: I20221008000283 |
| Provider Name | Stephanie Ann Shields |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275250185 PECOS PAC ID: 2567830615 Enrollment ID: I20221121001221 |
| Provider Name | Pamela Faille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720009632 PECOS PAC ID: 2769466317 Enrollment ID: I20230110002635 |
| Provider Name | Lacie Suzanne Tomson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265145171 PECOS PAC ID: 8224401559 Enrollment ID: I20230307000898 |
| Provider Name | Rachel Jamison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720784069 PECOS PAC ID: 2668846478 Enrollment ID: I20230317001687 |
| Provider Name | Vanessa Renee Dekeyzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366157455 PECOS PAC ID: 1355716176 Enrollment ID: I20230410001872 |
| Provider Name | Diana Lynn King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144926106 PECOS PAC ID: 0446625107 Enrollment ID: I20230411001035 |
| Provider Name | Richard Allen Pollard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790480838 PECOS PAC ID: 7214302975 Enrollment ID: I20230411001211 |
| Provider Name | Brent Ferguson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518668284 PECOS PAC ID: 6901261189 Enrollment ID: I20230421001087 |
| Provider Name | Tiffanie Marie Desmangles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881346310 PECOS PAC ID: 0345606729 Enrollment ID: I20230510002571 |
| Provider Name | Tracy L Kauffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740963800 PECOS PAC ID: 8426410648 Enrollment ID: I20230818002079 |
| Provider Name | Sonia F Ferrer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568907723 PECOS PAC ID: 5799133237 Enrollment ID: I20231122001551 |
| Provider Name | John Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992204044 PECOS PAC ID: 6406204965 Enrollment ID: I20231122002111 |
| Provider Name | Sonia Mary Torres |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912041377 PECOS PAC ID: 9830547397 Enrollment ID: I20231122002167 |
| Provider Name | Bryan Affee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467066944 PECOS PAC ID: 9335597749 Enrollment ID: I20231127000174 |
| Provider Name | Deep Battu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912449950 PECOS PAC ID: 5991085433 Enrollment ID: I20231204003279 |
| Provider Name | Eva Larissa Pier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851018600 PECOS PAC ID: 0840649943 Enrollment ID: I20231214002907 |
| Provider Name | Candace Mcdonald |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538702501 PECOS PAC ID: 9032568902 Enrollment ID: I20231218002776 |
| Provider Name | Megan Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598423592 PECOS PAC ID: 0749630697 Enrollment ID: I20231219001866 |
| Provider Name | Joann R Treece |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760555841 PECOS PAC ID: 6305297490 Enrollment ID: I20240112003812 |
| Provider Name | Darla Ann Crabb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861993438 PECOS PAC ID: 6406209154 Enrollment ID: I20240129003866 |
| Provider Name | Tiffany Bluemke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598520033 PECOS PAC ID: 4082050232 Enrollment ID: I20240309000658 |
| Provider Name | Jennifer Simmons |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134530918 PECOS PAC ID: 6709233521 Enrollment ID: I20240524001974 |
Freedom Counseling, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Executive Dr Ste C, Lafayette, IN 47905 Phone: 765-250-5254 | |
Indiana Neurology Specialty Care Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3731 Rome Dr, Suite A, Lafayette, IN 47905 Phone: 765-448-3040 Fax: 765-447-0151 | |
Roundtable Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 South St, Lafayette, IN 47901 Phone: 765-630-7222 | |
Community & Family Resource Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Saw Mill Rd, Lafayette, IN 47905 Phone: 765-742-4848 | |
Woodhaven Behavioral Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 Sagamore Pkwy N, Lafayette, IN 47904 Phone: 765-586-4764 | |
Best Solutions Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Hornbeam Cir W, Lafayette, IN 47905 Phone: 765-337-6880 Fax: 765-447-0545 | |
Gardens At Roundtable Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 South St, Lafayette, IN 47901 Phone: 765-630-7222 Fax: 765-807-3210 |