Jefferson Street Holdings Llc - Mental Health Clinic in Marengo, IN

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Jefferson Street Holdings Llc is a mental health clinic (Counselor - Mental Health) in Marengo, Indiana. The current practice location for Jefferson Street Holdings Llc is 2235 E State Road 64, Marengo, Indiana. For appointments, you can reach them via phone at (812) 501-0308. The mailing address for Jefferson Street Holdings Llc is 2235 E State Road 64, Marengo, Indiana and phone number is (812) 501-0308.

Jefferson Street Holdings Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1548195993. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (812) 501-0308.

Contact Information

Jefferson Street Holdings Llc
2235 E State Road 64
Marengo
IN 47140-8725
(812) 501-0308
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameJefferson Street Holdings Llc
SpecialityCounselor - Mental Health
Location2235 E State Road 64, Marengo, Indiana
Authorized Official Name and PositionAndrea Glass (CEO)
Authorized Official Contact8125010308
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jefferson Street Holdings Llc
2235 E State Road 64
Marengo
IN 47140-8725

Ph: (812) 501-0308		Jefferson Street Holdings Llc
2235 E State Road 64
Marengo
IN 47140-8725

Ph: (812) 501-0308

NPI Details:

NPI Number1548195993
Provider Enumeration Date06/16/2026
Last Update Date06/16/2026
Certification Date06/16/2026

Medical Identifiers

Medical identifiers for Jefferson Street Holdings Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548195993NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Reviews and Comments

Counselor in Marengo, IN


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.