| Catholic Charities Indianapolis, Inc. | |
|
1400 N Meridian St Indianapolis IN 46202-2305 | |
| (317) 236-1500 | |
| Not Available |
| Full Name | Catholic Charities Indianapolis, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 1400 N Meridian St, Indianapolis, Indiana |
| Authorized Official Name and Position | David J. Bethuram (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3172361500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Indianapolis, Inc. 1400 N Meridian St Indianapolis IN 46202-2305 Ph: (317) 236-1500 | Catholic Charities Indianapolis, Inc. 1400 N Meridian St Indianapolis IN 46202-2305 Ph: (317) 236-1500 |
| NPI Number | 1629463906 |
|---|---|
| Provider Enumeration Date | 04/02/2015 |
| Last Update Date | 04/02/2015 |
| Medicare PECOS PAC ID | 7911445929 |
|---|---|
| Medicare Enrollment ID | O20240821001273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629463906 | NPI | - | NPPES |
| 000000 189106 | Other | IN | ANTHEM |
| 100121560A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Craig W. Fall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750500948 PECOS PAC ID: 9234677253 Enrollment ID: I20240821001442 |
| Provider Name | Beth Goodrich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003336975 PECOS PAC ID: 7618415654 Enrollment ID: I20240821002129 |
| Provider Name | Jill Zimmer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528442340 PECOS PAC ID: 2769920701 Enrollment ID: I20240821002330 |
| Provider Name | Ann H Adinamis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033161815 PECOS PAC ID: 4284938374 Enrollment ID: I20240909000947 |
| Provider Name | Hailey Taylor Rhodes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962018705 PECOS PAC ID: 5193257475 Enrollment ID: I20241010003830 |
| Provider Name | Catherine Mary Dubois |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124700554 PECOS PAC ID: 9638699036 Enrollment ID: I20250227002901 |
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