FOUR COUNTY COMPREHENSIVE MENTAL HEALTH (NPI# 1053387803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053387803 |
| Entity Type | Organization |
| Organization Name | FOUR COUNTY COMPREHENSIVE MENTAL HEALTH |
| Other Organization Name | FOUR COUNTY COUNSELING CENTER |
| Practice Address |
1015 Michigan Ave Main Center Logansport IN 46947-1526 |
| Practice Telephone | 5747225151 |
| Practice Fax Number | 5747391414 |
| Mailing Telephone | 5747225151 |
| Mailing Fax Number | 5747391414 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. LARRY ULRICH (CEO) |
| Authorized Official Telephone | 5747225151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
427-1-PIP | IN | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
427-1-PIP | IN | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
427-0-CMHC | IN | Behavioral Health & Social Service Providers |
| X | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
427-1-PIP | IN | Behavioral Health & Social Service Providers |
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
427-1-PIP | IN | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
427-1-PIP | IN | Behavioral Health & Social Service Providers |
| X | 103TC1900X |
Psychologist Specialization: Counseling |
427-1-PIP | IN | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
427-1-PIP | IN | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
427-1-PIP | IN | Behavioral Health & Social Service Providers |
| X | 1041S0200X |
Social Worker Specialization: School |
427-1-PIP | IN | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 427-1-PIP | IN | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
427-0CMHC | IN | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
427-1-PIP | IN | Behavioral Health & Social Service Providers |
| X | 101YS0200X |
Counselor Specialization: School |
427-1-PIP | IN | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Four County Counseling Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194895862 | Four County Comprehensive Mental Health | Registered Nurse | 1015 Michigan Ave, Logansport, IN 46947-1526 | 2006-11-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER INC | 1015 Michigan Avenue, Logansport, IN 46947 |
| Street Address |
1015 MICHIGAN AVE MAIN CENTER |
| City | LOGANSPORT |
| State | IN |
| Zip Code | 46947-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467434068 | Shawn G Larson | Psychiatry & Neurology | 1015 Michigan Ave, Logansport, IN 46947-1526 | 2005-11-18 |
| 1649814872 | Sara Spence | Nurse Practitioner | 1015 Michigan Ave, Logansport, IN 46947-1526 | 2019-10-31 |
| 1871136721 | Karen M Hatfield | Counselor | 1015 Michigan Ave, Logansport, IN 46947-1526 | 2019-10-23 |
| 1396395067 | Matthew Jason Tanner | Nurse Practitioner | 1015 Michigan Ave, Logansport, IN 46947-1526 | 2019-09-16 |
| 1558911255 | Emily Anne Hollingsworth | Counselor | 1015 Michigan Ave, Logansport, IN 46947-1526 | 2019-09-13 |
| 1225682388 | Ankita Nikalje | Counselor | 1015 Michigan Ave, Logansport, IN 46947-1526 | 2019-07-27 |
| 1730733155 | Alainna Wen | Counselor | 1015 Michigan Ave, Logansport, IN 46947-1526 | 2019-07-25 |
| 1396399507 | Ryan Patrick Egan | Counselor | 1015 Michigan Ave, Logansport, IN 46947-1526 | 2019-07-25 |
| 1386298594 | Laura Jensen | Counselor | 1015 Michigan Ave, Logansport, IN 46947-1526 | 2019-07-25 |
| 1679126346 | Shereen Khoo | Counselor | 1015 Michigan Ave, Logansport, IN 46947-1526 | 2019-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1023564259 | Wecare Tlc - Lcsc Health and Wellness | Clinic/Center | 2500 Hopper Street, Door C-13, Logansport, IN 46947 | 2016-08-28 |
| 1801266283 | Cheryl Lynn Ulery | Occupational Therapy Assistant | 5105 Northcrest Drive, Logansport, IN 46947 | 2015-09-29 |
| 1346618691 | Jan Hoover | Nurse Practitioner | 1025 Michigan Ave Ste 125, Logansport, IN 46947 | 2015-09-03 |
| 1922431741 | Ourhealth Physician Group, LLC | Clinic/Center | 99 E. Dewey St., Logansport, IN 46947 | 2013-08-15 |
| 1215245816 | Wal-mart Stores East Lp | Technician/Technologist | 240 Mall Road, Logansport, IN 46947 | 2010-09-16 |
| 1770778359 | Assisted Living Concepts Inc | Assisted Living Facility | 3901 High Street Road, Logansport, IN 46947 | 2007-09-07 |
| 1417152943 | Mary A Deinnocentes | Audiologist | 1325 N. 200 E., Logansport, IN 46947 | 2007-06-15 |
| 1396965018 | Elizabeth Dockerty Smith | Dentist | 335 Mall Road, Logansport, IN 46947 | 2007-04-26 |
| 1659599686 | Donna Beck Hermance | Physical Therapist | Northcentral Indiana Sports Center, 1603 Chase Road, Logansport, IN 46947 | 2007-04-23 |
| Find all providers in zip 46947 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699060913 | Mary Ellen Osburn | Counselor | 601 E Market St, Suite E, Logansport, IN 46947-3180 | 2011-06-15 |
| 1508190745 | Heather Dawn Marschand | Counselor | 1015 Michigan Ave, Logansport, IN 46947-1526 | 2009-09-21 |
| 1497907232 | Kathy Strong | Counselor | 408 North St, Logansport, IN 46947-2895 | 2008-10-10 |
| 1083888275 | Kathy Coffing | Counselor | 1015 Michigan Ave, Logansport, IN 46947-1526 | 2008-04-17 |
| 1417120585 | Deborah J Carithers | Counselor | 1015 Michigan Ave, Logansport, IN 46947-1526 | 2008-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194084 | Katrina Jean Applegate | Counselor | 3015 E County Road 200 N, North Vernon, IN 47265-8527 | 2020-11-04 |
| 1447850102 | Alyssa Gorbett | Counselor | 320 Bruce St. Suite C, Seymour, IN 47274 | 2020-10-30 |
| 1144828922 | Yvette Markey | Counselor | 1001 Eugene St, Indianapolis, IN 46208-4930 | 2020-10-13 |
| 1659978880 | Deirdre Jean Miller | Counselor | 1101 N Jim Day Rd Ste 109, Salem, IN 47167-5201 | 2020-10-01 |
| 1982216917 | A Safe Home LLC | Counselor | 6201 La Pas Trl Ste 170, Indianapolis, IN 46268-2573 | 2020-08-20 |
| 1780296830 | Megan Daciola | Counselor | 110 S Indiana St Ste 101, Greencastle, IN 46135-1783 | 2020-08-20 |
| 1134738560 | When Ready Counseling, LLC | Counselor | 4770 Covert Ave Ste 216d, Evansville, IN 47714-5663 | 2020-07-31 |
| 1407465933 | Courtney Rae Mathews | Counselor | 550 E Jefferson St Ste 101, Franklin, IN 46131-2586 | 2020-07-30 |
| 1447868906 | Psychotherapy Associates of Kokomo, LLC | Counselor | 217 E Southway Blvd Ste 101, Kokomo, IN 46902-3577 | 2020-07-21 |
| 1417575416 | Chris Burton | Counselor | 1017 3rd St, Columbus, IN 47201-6870 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
| City | LOGANSPORT |
| Zip Code | 46947 |
Please comment or provide details below to improve the information on FOUR COUNTY COMPREHENSIVE MENTAL HEALTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.