| Green House And Associates Inc | |
|
6246 W Broadway # 200 Mccordsville IN 46055 | |
| (317) 253-7387 | |
| (317) 253-7388 |
| Full Name | Green House And Associates Inc |
|---|---|
| Speciality | Psychologist |
| Location | 6246 W Broadway # 200, Mccordsville, Indiana |
| Authorized Official Name and Position | Laura A Huddleston (OWNER/PRESIDENT) |
| Authorized Official Contact | 3172537387 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Green House And Associates Inc Po Box 361327 Indianapolis IN 46236-1327 Ph: (317) 253-7387 | Green House And Associates Inc 6246 W Broadway # 200 Mccordsville IN 46055 Ph: (317) 253-7387 |
| NPI Number | 1558316463 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 01/29/2019 |
| Medicare PECOS PAC ID | 4688667488 |
|---|---|
| Medicare Enrollment ID | O20171130000326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558316463 | NPI | - | NPPES |
| DA9104 | Other | IN | RAILROAD MEDICARE |
| 000000291010 | Other | IN | BCBS |
| 200427380 A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Patricia S Rudd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922039130 PECOS PAC ID: 7517910698 Enrollment ID: I20050301000577 |
| Provider Name | Nicholas L Watters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063468817 PECOS PAC ID: 4880790666 Enrollment ID: I20070511000187 |
| Provider Name | Lorne B Cansler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699782326 PECOS PAC ID: 2567561913 Enrollment ID: I20070626000204 |
| Provider Name | Gregory D Perri |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265544415 PECOS PAC ID: 7113026204 Enrollment ID: I20070702000299 |
| Provider Name | Susan Steitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376933614 PECOS PAC ID: 7517271034 Enrollment ID: I20150728005816 |
| Provider Name | Bethann Nevius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417330747 PECOS PAC ID: 5193030922 Enrollment ID: I20150821014316 |
| Provider Name | Jolynn Gaither-wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588021877 PECOS PAC ID: 9133423502 Enrollment ID: I20160204001148 |
| Provider Name | Christina Woodruff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285025288 PECOS PAC ID: 8729349550 Enrollment ID: I20180219001374 |
| Provider Name | Ann Rosenberg-sattich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487909495 PECOS PAC ID: 9032467972 Enrollment ID: I20180814002031 |
| Provider Name | Melissa Duncan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699027045 PECOS PAC ID: 1456612514 Enrollment ID: I20180816000863 |
| Provider Name | Carol Angela Niehaus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770926677 PECOS PAC ID: 1557612991 Enrollment ID: I20180924001670 |
| Provider Name | Sara F Melhorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396238655 PECOS PAC ID: 7719239342 Enrollment ID: I20181010001283 |
| Provider Name | Richard Susner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225425960 PECOS PAC ID: 9830407378 Enrollment ID: I20181030002518 |
| Provider Name | Latasha White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568930188 PECOS PAC ID: 7517292659 Enrollment ID: I20190711003353 |
| Provider Name | Kimberly Haubner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265946263 PECOS PAC ID: 3971867243 Enrollment ID: I20190830002121 |
| Provider Name | Louise D Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457631509 PECOS PAC ID: 7113257437 Enrollment ID: I20190927003150 |
| Provider Name | Kathleen Daley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891344511 PECOS PAC ID: 3072843218 Enrollment ID: I20191001001766 |
| Provider Name | Lauren Taylor Rowley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992258388 PECOS PAC ID: 4486986098 Enrollment ID: I20191031002500 |
| Provider Name | Crystal Mobley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568612414 PECOS PAC ID: 5496188021 Enrollment ID: I20191211003344 |
| Provider Name | Robert B Ramey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912540402 PECOS PAC ID: 7517399413 Enrollment ID: I20200102000960 |
| Provider Name | Sabrina Poydras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942768866 PECOS PAC ID: 4385078120 Enrollment ID: I20200102001686 |
| Provider Name | Katherine Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114588506 PECOS PAC ID: 4981939709 Enrollment ID: I20200109000461 |
| Provider Name | Octavia Mcfall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942847140 PECOS PAC ID: 1052746351 Enrollment ID: I20200114003624 |
| Provider Name | Charles Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740589373 PECOS PAC ID: 3779919477 Enrollment ID: I20200128001790 |
| Provider Name | Courtney Sergent-fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093376212 PECOS PAC ID: 4981030699 Enrollment ID: I20200128002129 |
| Provider Name | Jennifer Mccord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962041087 PECOS PAC ID: 8820425838 Enrollment ID: I20200303001163 |
| Provider Name | William Anthony Mathis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639408990 PECOS PAC ID: 9234568023 Enrollment ID: I20200330002560 |
| Provider Name | Kimberly Schoengart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427300060 PECOS PAC ID: 7719128750 Enrollment ID: I20200414000849 |
| Provider Name | Lisa Bridwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902427917 PECOS PAC ID: 9830511351 Enrollment ID: I20200629003396 |
| Provider Name | Stacy Lynn Garton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114104098 PECOS PAC ID: 5597933069 Enrollment ID: I20200811001556 |
| Provider Name | Lindsey Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013548049 PECOS PAC ID: 2466872403 Enrollment ID: I20201013003390 |
| Provider Name | Ashley Ricketts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326641499 PECOS PAC ID: 8729490107 Enrollment ID: I20201208002304 |
| Provider Name | Jessica Eckhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699189977 PECOS PAC ID: 8426462029 Enrollment ID: I20210121002606 |
| Provider Name | Joi Mosley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245829290 PECOS PAC ID: 7214342005 Enrollment ID: I20210208001997 |
| Provider Name | Katelyn Holsclaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174176077 PECOS PAC ID: 6608102470 Enrollment ID: I20210226001371 |
| Provider Name | Aaron Starr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154814507 PECOS PAC ID: 1951726769 Enrollment ID: I20210226001934 |
| Provider Name | Sheri Lcsw Bell-o'gara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821064148 PECOS PAC ID: 4789928664 Enrollment ID: I20210226002181 |
| Provider Name | Christine Vaal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558787853 PECOS PAC ID: 9335370584 Enrollment ID: I20210226002274 |
| Provider Name | Stephen D Curtis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265743165 PECOS PAC ID: 9133487267 Enrollment ID: I20210504002497 |
| Provider Name | Heather Henderson-galligan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487788972 PECOS PAC ID: 9830595826 Enrollment ID: I20210830002917 |
| Provider Name | Lisa Mccarty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316532039 PECOS PAC ID: 1153738901 Enrollment ID: I20211026003410 |
| Provider Name | Tara Lyniese Angelini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265613020 PECOS PAC ID: 7911397724 Enrollment ID: I20211210000980 |
| Provider Name | Melissa Babbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982363982 PECOS PAC ID: 4486045366 Enrollment ID: I20220104000703 |
| Provider Name | Judea Castillo-winter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083378152 PECOS PAC ID: 5991196974 Enrollment ID: I20220127002529 |
Mentoring With Magic Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7050 N Oxford Ln, Mccordsville, IN 46055 Phone: 317-517-3030 | |
Vaal Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9693 Highview Ln, Mccordsville, IN 46055 Phone: 812-453-4202 Fax: 812-289-6201 |