| Four County Comprehensive Mental Health Center Inc | |
|
1000 N Broadway Peru IN 46970-1070 | |
| (574) 722-5151 | |
| (574) 739-1414 |
| Full Name | Four County Comprehensive Mental Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 N Broadway, Peru, Indiana |
| Authorized Official Name and Position | Carrie Ann Cadwell (CEO) |
| Authorized Official Contact | 5747225151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Four County Comprehensive Mental Health Center Inc 2355 S Business 31 Peru IN 46970-8985 Ph: (574) 722-5151 | Four County Comprehensive Mental Health Center Inc 1000 N Broadway Peru IN 46970-1070 Ph: (574) 722-5151 |
| NPI Number | 1972545945 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Medicare PECOS PAC ID | 2163334277 |
|---|---|
| Medicare Enrollment ID | O20031105000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972545945 | NPI | - | NPPES |
| 100464740 | Medicaid | IN |
| Provider Name | Jean A Halfast |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851329593 PECOS PAC ID: 0042289290 Enrollment ID: I20040925000052 |
| Provider Name | Betsy J Rosiek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053319095 PECOS PAC ID: 7517927361 Enrollment ID: I20041015000231 |
| Provider Name | Nizar El Khalili |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861429714 PECOS PAC ID: 9537148101 Enrollment ID: I20050419000584 |
| Provider Name | Jane N Abbott Rider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508800608 PECOS PAC ID: 3870664410 Enrollment ID: I20080625000346 |
| Provider Name | Richard C Voorhees |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407047186 PECOS PAC ID: 9537231147 Enrollment ID: I20080626000214 |
| Provider Name | Maren C Blevins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427132463 PECOS PAC ID: 7012073422 Enrollment ID: I20090311000125 |
| Provider Name | Kathleen M Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790883528 PECOS PAC ID: 6103976659 Enrollment ID: I20090604000281 |
| Provider Name | Wonda F Elmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053546556 PECOS PAC ID: 7315084092 Enrollment ID: I20091029000082 |
| Provider Name | Stacie L Stutzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699919373 PECOS PAC ID: 4981647302 Enrollment ID: I20091208000028 |
| Provider Name | Matthew Gregory Grant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609074640 PECOS PAC ID: 4587793351 Enrollment ID: I20100603000927 |
| Provider Name | Steven M Carney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649208026 PECOS PAC ID: 3870617467 Enrollment ID: I20100903000157 |
| Provider Name | James P Noll |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730124264 PECOS PAC ID: 3274658448 Enrollment ID: I20100910000710 |
| Provider Name | John W George |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528099892 PECOS PAC ID: 0749472629 Enrollment ID: I20101011000557 |
| Provider Name | Christina J Waddups |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770750473 PECOS PAC ID: 7214190842 Enrollment ID: I20120518000226 |
| Provider Name | Mallery Rachel Neff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528387628 PECOS PAC ID: 2860648078 Enrollment ID: I20120803000217 |
| Provider Name | Qun Wu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184792020 PECOS PAC ID: 9133383516 Enrollment ID: I20130218000256 |
| Provider Name | Crystal Ridenour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346671997 PECOS PAC ID: 8123245479 Enrollment ID: I20140808001832 |
| Provider Name | Olivia Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881077931 PECOS PAC ID: 3375852304 Enrollment ID: I20151014001344 |
| Provider Name | Deborah A Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063813178 PECOS PAC ID: 8426270935 Enrollment ID: I20170814000942 |
| Provider Name | Nubia Mcvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598280968 PECOS PAC ID: 0547526147 Enrollment ID: I20171115001660 |
| Provider Name | Mark R Lentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548773492 PECOS PAC ID: 3971861287 Enrollment ID: I20171214001282 |
| Provider Name | Casey Lynn Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588153746 PECOS PAC ID: 4587928718 Enrollment ID: I20180515003254 |
| Provider Name | Christine M Knapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952637308 PECOS PAC ID: 4385816164 Enrollment ID: I20190102002919 |
| Provider Name | Letecia D Timmel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225473218 PECOS PAC ID: 4284970757 Enrollment ID: I20190104001634 |
| Provider Name | Amy Herron-miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366616419 PECOS PAC ID: 4284964834 Enrollment ID: I20190924002274 |
| Provider Name | Matthew Jason Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396395067 PECOS PAC ID: 1052743382 Enrollment ID: I20191107001050 |
| Provider Name | Julie M Caldwell Harrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003446204 PECOS PAC ID: 9739517004 Enrollment ID: I20200319002262 |
| Provider Name | Jerry J Fry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881861714 PECOS PAC ID: 1557791696 Enrollment ID: I20200414000471 |
| Provider Name | Carrie Lynne Helle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184988388 PECOS PAC ID: 6002138344 Enrollment ID: I20211201002127 |
| Provider Name | Heather Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134827223 PECOS PAC ID: 1456724962 Enrollment ID: I20230303001472 |
| Provider Name | Caroline Blower |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366120172 PECOS PAC ID: 2860853439 Enrollment ID: I20230728001747 |
| Provider Name | Lauren Whitney Merrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194409482 PECOS PAC ID: 4284095803 Enrollment ID: I20230731000374 |
| 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 | Keith Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306621024 PECOS PAC ID: 4486018314 Enrollment ID: I20230912000641 |
| 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 | Terry L. Schrock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427127703 PECOS PAC ID: 3577901701 Enrollment ID: I20240405002470 |
| Provider Name | Kenneth Jay Zumbaugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801824842 PECOS PAC ID: 0143668319 Enrollment ID: I20240406000362 |
| Provider Name | Joshua David Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194478776 PECOS PAC ID: 4880032085 Enrollment ID: I20240408001622 |
| Provider Name | Sharyn Simpson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245080134 PECOS PAC ID: 6608215041 Enrollment ID: I20240417002683 |
| Provider Name | Bridget Lee Spinner-baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306601265 PECOS PAC ID: 3779924378 Enrollment ID: I20240514002372 |
| Provider Name | Zachary Richard Patton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174266621 PECOS PAC ID: 2466831664 Enrollment ID: I20240806002242 |
| Provider Name | Emma Elisabeth Eckrote |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215678644 PECOS PAC ID: 1759760960 Enrollment ID: I20240826002997 |
| Provider Name | Cindy Sue Green-smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093546772 PECOS PAC ID: 7012458532 Enrollment ID: I20240924001057 |
| Provider Name | April Lynn Mccann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346729373 PECOS PAC ID: 2062764327 Enrollment ID: I20240925001852 |
| Provider Name | Francisco Zepeda |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215230271 PECOS PAC ID: 1759812712 Enrollment ID: I20241001002293 |
| Provider Name | Melanie Lowman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972841369 PECOS PAC ID: 9436680428 Enrollment ID: I20241001003324 |
| Provider Name | Cynthia Lynn Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053635540 PECOS PAC ID: 9032646039 Enrollment ID: I20250102000694 |
| Provider Name | Christina Russell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750921938 PECOS PAC ID: 9537696570 Enrollment ID: I20250102002283 |
| Provider Name | Shelby Ann Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134939606 PECOS PAC ID: 7012445570 Enrollment ID: I20250110003164 |
| Provider Name | Madeline Nicole Oliver Sawyers |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407402589 PECOS PAC ID: 1850816968 Enrollment ID: I20250422001917 |
| Provider Name | Tanika D Forestal |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447693197 PECOS PAC ID: 0244769461 Enrollment ID: I20250501000976 |
| Provider Name | Amanda Mills Tallman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083320717 PECOS PAC ID: 8820516735 Enrollment ID: I20250514003549 |
Hoosier Goals Consultations Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1721 W 400 S, Peru, IN 46970 Phone: 765-469-1877 | |
Four County Comprehensive Mental Health Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 N Broadway, Peru, IN 46970 Phone: 574-722-5151 Fax: 574-739-1414 | |
Engaging Families, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1981 W Airport Rd, Peru, IN 46970 Phone: 765-470-3485 | |
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Peace Of Mind, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2484 S Business 31, Suite C, Peru, IN 46970 Phone: 765-472-2722 Fax: 765-472-2722 | |
Peaceful Pathways Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2484 S Business 31 Ste D, Peru, IN 46970 Phone: 765-472-2722 | |
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