| Four County Counseling Center | |
|
1015 Michigan Ave Logansport IN 46947-1527 | |
| (574) 722-5151 | |
| (574) 739-1414 |
| Full Name | Four County Counseling Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1015 Michigan Ave, Logansport, Indiana |
| Authorized Official Name and Position | Jason Cadwell (CFO) |
| 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 Counseling Center 800 Fulton St C/o Jason Cadwell Logansport IN 46947-1577 Ph: (574) 722-5151 | Four County Counseling Center 1015 Michigan Ave Logansport IN 46947-1527 Ph: (574) 722-5151 |
| NPI Number | 1972545945 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 02/22/2016 |
| 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 | 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 | 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 | 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 R 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 | Aimee Dershowitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154762664 PECOS PAC ID: 1153540786 Enrollment ID: I20140915000914 |
| Provider Name | Bertold Stover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225469877 PECOS PAC ID: 9830416221 Enrollment ID: I20150324000552 |
| Provider Name | Sabrina Straub |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881029163 PECOS PAC ID: 4183944275 Enrollment ID: I20150513000189 |
| 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 | 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 | Sara Elisabeth Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649814872 PECOS PAC ID: 8426480922 Enrollment ID: I20191121003190 |
| 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 | Lauren Whitney Merrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194409482 PECOS PAC ID: 4284095803 Enrollment ID: I20230731000374 |
Four County Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 Michigan Ave, Main Center, Logansport, IN 46947 Phone: 574-722-5151 Fax: 574-739-1414 | |
Charism Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Market St, Logansport, IN 46947 Phone: 574-753-8000 Fax: 574-753-8003 | |
Raj Clinics Professional Services Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Chase Park, Logansport, IN 46947 Phone: 574-732-1166 Fax: 574-753-4117 | |
Raj Clinics Professional Services Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Chase Park, Logansport, IN 46947 Phone: 574-732-1166 Fax: 574-753-4117 | |
Cass County Wic Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Dividend Dr, Logansport, IN 46947 Phone: 574-753-4961 Fax: 574-735-0429 | |
Comprehensive Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E Market St, Logansport, IN 46947 Phone: 574-735-3009 | |
Bringing Hope Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 Michigan Ave, Logansport, IN 46947 Phone: 574-992-2522 Fax: 574-992-2522 |