| Heartland Behavioral Health Inc | |
|
2068 Lucas Pkwy Lowell IN 46356-2169 | |
| (219) 690-7025 | |
| Not Available |
| Full Name | Heartland Behavioral Health Inc |
|---|---|
| Speciality | Psychologist |
| Location | 2068 Lucas Pkwy, Lowell, Indiana |
| Authorized Official Name and Position | Jaime Rogers (CEO/OWNER) |
| Authorized Official Contact | 2196907025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Behavioral Health Inc 2068 Lucas Pkwy Lowell IN 46356-2169 Ph: (219) 690-7025 | Heartland Behavioral Health Inc 2068 Lucas Pkwy Lowell IN 46356-2169 Ph: (219) 690-7025 |
| NPI Number | 1134618333 |
|---|---|
| Provider Enumeration Date | 05/03/2018 |
| Last Update Date | 09/22/2022 |
| Certification Date | 09/22/2022 |
| Medicare PECOS PAC ID | 9638429269 |
|---|---|
| Medicare Enrollment ID | O20180831002189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134618333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
| Provider Name | Belinda L Hubert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316116742 PECOS PAC ID: 1951569862 Enrollment ID: I20120223000586 |
| Provider Name | Kaley Michelle Marino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376021725 PECOS PAC ID: 3779834064 Enrollment ID: I20180926000520 |
| Provider Name | William Garcia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699188862 PECOS PAC ID: 4082158282 Enrollment ID: I20240628001505 |
| Provider Name | Stan Barnard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760870547 PECOS PAC ID: 9638619729 Enrollment ID: I20240904000725 |
| Provider Name | Derek Blagojevic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508507302 PECOS PAC ID: 6204377211 Enrollment ID: I20240918000763 |
| Provider Name | Jennifer Lynn Howard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487266771 PECOS PAC ID: 6305373796 Enrollment ID: I20241224001339 |
| Provider Name | Jessica Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497477285 PECOS PAC ID: 8224565403 Enrollment ID: I20241230002065 |
| Provider Name | Melanie Rae Forbes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386383016 PECOS PAC ID: 4284156399 Enrollment ID: I20250318003380 |
| Provider Name | Kesha Molden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265042154 PECOS PAC ID: 1052835071 Enrollment ID: I20250410002531 |
| Provider Name | Lindsay Marie Beougher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770048480 PECOS PAC ID: 0345759031 Enrollment ID: I20250604000571 |
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St Margaret Mercy Healthcare Centers, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2068 Lucas Pkwy, Lowell, IN 46356 Phone: 219-696-8200 Fax: 219-696-4917 |