| Dba Lifestance Health | |
|
7300 E Indiana St Suite 103 Evansville IN 47715-2794 | |
| (812) 401-8008 | |
| Not Available |
| Full Name | Dba Lifestance Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7300 E Indiana St, Evansville, Indiana |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 2063991493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Lifestance Health 4800 N Scottsdale Rd Ste 2500 Scottsdale AZ 85251-7630 Ph: (253) 346-0392 | Dba Lifestance Health 7300 E Indiana St Suite 103 Evansville IN 47715-2794 Ph: (812) 401-8008 |
| NPI Number | 1427362201 |
|---|---|
| Provider Enumeration Date | 08/04/2010 |
| Last Update Date | 04/05/2024 |
| Certification Date | 04/05/2024 |
| Medicare PECOS PAC ID | 4587834874 |
|---|---|
| Medicare Enrollment ID | O20110824000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427362201 | NPI | - | NPPES |
| Provider Name | Kathryn Sebo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548335003 PECOS PAC ID: 9335123793 Enrollment ID: I20040615000471 |
| Provider Name | Melaine Gibbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013965839 PECOS PAC ID: 7618957804 Enrollment ID: I20040720000874 |
| Provider Name | Siming C Hummer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376591255 PECOS PAC ID: 9537139886 Enrollment ID: I20040726001471 |
| Provider Name | Andrea J Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255492344 PECOS PAC ID: 8022081447 Enrollment ID: I20040814000100 |
| Provider Name | Deanna Lynn Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538172630 PECOS PAC ID: 3476527714 Enrollment ID: I20040823001369 |
| Provider Name | Susan Williamson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184677460 PECOS PAC ID: 1052388923 Enrollment ID: I20040911000157 |
| Provider Name | Allen Monroe Toy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477541613 PECOS PAC ID: 8628032810 Enrollment ID: I20041117000561 |
| Provider Name | Steven D Luzader |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245228493 PECOS PAC ID: 4981659901 Enrollment ID: I20050314000050 |
| Provider Name | Michele R Babin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407960636 PECOS PAC ID: 3870526031 Enrollment ID: I20050917000018 |
| Provider Name | Catherine O Oplinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821167073 PECOS PAC ID: 6305941782 Enrollment ID: I20070412000553 |
| Provider Name | Beth a Barchet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902913320 PECOS PAC ID: 1052418720 Enrollment ID: I20070515000418 |
| Provider Name | Boris Vatel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992783526 PECOS PAC ID: 0941103766 Enrollment ID: I20071004000091 |
| Provider Name | David C Gray |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730179524 PECOS PAC ID: 0547345373 Enrollment ID: I20080304000596 |
| Provider Name | Stanley K Metzger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023185196 PECOS PAC ID: 2961587183 Enrollment ID: I20080312000554 |
| Provider Name | Vicki L Lane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265509897 PECOS PAC ID: 8729153739 Enrollment ID: I20080826000171 |
| Provider Name | Jayme a Trevino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689841694 PECOS PAC ID: 2668510231 Enrollment ID: I20091119000265 |
| Provider Name | Stephanie Ann Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437342532 PECOS PAC ID: 9638219231 Enrollment ID: I20091214000762 |
| Provider Name | Lisa L Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083881866 PECOS PAC ID: 6406996362 Enrollment ID: I20091228000416 |
| Provider Name | Rebecca M Gentle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043487051 PECOS PAC ID: 2466595939 Enrollment ID: I20100205000218 |
| Provider Name | Lisa K Riggs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891027736 PECOS PAC ID: 6800922691 Enrollment ID: I20100331000685 |
| Provider Name | Elizabeth a Fallen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538170014 PECOS PAC ID: 8527192723 Enrollment ID: I20100810000268 |
| Provider Name | Ramona L Wilzbacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013230093 PECOS PAC ID: 7315071289 Enrollment ID: I20100813000388 |
| Provider Name | Amalie B Hickman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295917656 PECOS PAC ID: 5698960029 Enrollment ID: I20101111000581 |
| Provider Name | Kathryn C Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134425598 PECOS PAC ID: 0345426128 Enrollment ID: I20110511000593 |
| Provider Name | Lois B Hughes |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1215019039 PECOS PAC ID: 0143490417 Enrollment ID: I20110823000886 |
| Provider Name | Leticia L Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447509633 PECOS PAC ID: 5496904443 Enrollment ID: I20121005000671 |
| Provider Name | Ashraf Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740265578 PECOS PAC ID: 0840261608 Enrollment ID: I20121009000090 |
| Provider Name | Allyson Huett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578999207 PECOS PAC ID: 4880823897 Enrollment ID: I20140213001402 |
| Provider Name | Jennifer Hutchens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508285727 PECOS PAC ID: 5395978043 Enrollment ID: I20140502001082 |
| Provider Name | Stephanie Guingrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205161981 PECOS PAC ID: 3375766512 Enrollment ID: I20140515002153 |
| Provider Name | Jill Oliver |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1942468863 PECOS PAC ID: 1759508765 Enrollment ID: I20140815000829 |
| Provider Name | Lachelle Barnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710252945 PECOS PAC ID: 4385862192 Enrollment ID: I20140820000380 |
| Provider Name | Matrika Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912300542 PECOS PAC ID: 8325269244 Enrollment ID: I20141017001965 |
| Provider Name | Elizabeth N Andresen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982007423 PECOS PAC ID: 3173745254 Enrollment ID: I20141104002254 |
| Provider Name | Elizabeth J Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871826610 PECOS PAC ID: 2264570860 Enrollment ID: I20141105001015 |
| Provider Name | Rebecca L Nance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295138949 PECOS PAC ID: 5698098424 Enrollment ID: I20141230001879 |
| Provider Name | Poonam Ishanpara |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245629096 PECOS PAC ID: 8527385251 Enrollment ID: I20150318000288 |
| Provider Name | Jennifer Nicole Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679958490 PECOS PAC ID: 2769796341 Enrollment ID: I20150728004050 |
| Provider Name | Greg P Edie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235505942 PECOS PAC ID: 6507172723 Enrollment ID: I20150903000116 |
| Provider Name | Autumn D Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093182719 PECOS PAC ID: 1850607813 Enrollment ID: I20150904002114 |
| Provider Name | Robert Joseph Whitacre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598134512 PECOS PAC ID: 1153639513 Enrollment ID: I20151005000937 |
| Provider Name | Sarah Elizabeth Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245604867 PECOS PAC ID: 3577864693 Enrollment ID: I20151215001370 |
| Provider Name | Jennifer Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639157480 PECOS PAC ID: 1850694340 Enrollment ID: I20160115001050 |
| Provider Name | Jennifer Hassell-goodson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477928133 PECOS PAC ID: 6901100072 Enrollment ID: I20160210001045 |
| Provider Name | Perry Minner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295123693 PECOS PAC ID: 2466732631 Enrollment ID: I20161205001101 |
| Provider Name | Sarah a Dotson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649673278 PECOS PAC ID: 2163704875 Enrollment ID: I20170112001815 |
| Provider Name | Heather N Phelps |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982128724 PECOS PAC ID: 1153696372 Enrollment ID: I20171013000786 |
| Provider Name | Kelsey Ginder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346626389 PECOS PAC ID: 3072871292 Enrollment ID: I20171218000861 |
| Provider Name | David Taylor Nellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255716395 PECOS PAC ID: 5597028050 Enrollment ID: I20180416000002 |
| Provider Name | Rhonda J Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841580875 PECOS PAC ID: 2860639960 Enrollment ID: I20180516000352 |
| Provider Name | Amy Jo Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295196673 PECOS PAC ID: 0143510933 Enrollment ID: I20180727002061 |
| Provider Name | Mary Waling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033697149 PECOS PAC ID: 2163770025 Enrollment ID: I20180808003833 |
| Provider Name | Tracey Townsend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912245978 PECOS PAC ID: 3779833272 Enrollment ID: I20180904002686 |
| Provider Name | Lauren G Butler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609261049 PECOS PAC ID: 8729321054 Enrollment ID: I20190529002962 |
| Provider Name | Amy J Hirt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518095975 PECOS PAC ID: 3274768338 Enrollment ID: I20190611003189 |
| Provider Name | Lesia D Rowe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336431014 PECOS PAC ID: 3476887324 Enrollment ID: I20190626001508 |
| Provider Name | Lydia S Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134695232 PECOS PAC ID: 5799010591 Enrollment ID: I20190716003773 |
| Provider Name | Kari Lynn Crane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114453271 PECOS PAC ID: 8325376965 Enrollment ID: I20190821001152 |
| Provider Name | Patrick E Elzey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346895679 PECOS PAC ID: 0446588891 Enrollment ID: I20190822001463 |
| Provider Name | Eric Lyakhovetsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134780851 PECOS PAC ID: 4082944392 Enrollment ID: I20191001000285 |
| Provider Name | Laura M Fizel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306167143 PECOS PAC ID: 8022398528 Enrollment ID: I20191203001841 |
| Provider Name | Heather Metzger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932753464 PECOS PAC ID: 4183051956 Enrollment ID: I20200218001014 |
| Provider Name | Melissa Anne Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518502319 PECOS PAC ID: 7517394083 Enrollment ID: I20200221001208 |
| Provider Name | Kelly Michelle Silver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164056222 PECOS PAC ID: 9931537917 Enrollment ID: I20200325003100 |
| Provider Name | Brooke Lowrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235688599 PECOS PAC ID: 1355770389 Enrollment ID: I20200326001974 |
| Provider Name | Sherry Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053924704 PECOS PAC ID: 2769809474 Enrollment ID: I20200826002464 |
| Provider Name | Jessica L Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215543087 PECOS PAC ID: 6305256397 Enrollment ID: I20201103000701 |
| Provider Name | Emily Grimwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750983904 PECOS PAC ID: 4789095563 Enrollment ID: I20201130002286 |
| Provider Name | Dorothy Bodur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063019040 PECOS PAC ID: 3678986700 Enrollment ID: I20210111002171 |
| Provider Name | Ciemone Samatura Rose |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376139949 PECOS PAC ID: 6709290042 Enrollment ID: I20210128001410 |
| Provider Name | Gabrielle Goldstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871181321 PECOS PAC ID: 0547674590 Enrollment ID: I20210202002571 |
| Provider Name | Meagan Lynne Althoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518550136 PECOS PAC ID: 3870992167 Enrollment ID: I20210518001719 |
| Provider Name | Charlotte Critchfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760004279 PECOS PAC ID: 0749689099 Enrollment ID: I20210519000743 |
| Provider Name | Mary Houghton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376110536 PECOS PAC ID: 5193125771 Enrollment ID: I20210618001341 |
| Provider Name | Reagan J Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417010752 PECOS PAC ID: 1557765898 Enrollment ID: I20210809000924 |
| Provider Name | Tyler Lee Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114695285 PECOS PAC ID: 8224436647 Enrollment ID: I20211014002079 |
| Provider Name | Margaret Beymer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043813686 PECOS PAC ID: 8123417896 Enrollment ID: I20211118000821 |
| Provider Name | Elizabeth Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801559307 PECOS PAC ID: 8729477328 Enrollment ID: I20211122000908 |
| Provider Name | Debra Kay Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982363776 PECOS PAC ID: 0941691232 Enrollment ID: I20211221001323 |
| Provider Name | Hailey R Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447910203 PECOS PAC ID: 5991199846 Enrollment ID: I20220218001752 |
| Provider Name | Amy Lemmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720722424 PECOS PAC ID: 1153718531 Enrollment ID: I20220504001014 |
| Provider Name | Aaron Goldsberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073269767 PECOS PAC ID: 0648658922 Enrollment ID: I20220526002337 |
| Provider Name | Mackenzie E Abney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750952065 PECOS PAC ID: 4486032174 Enrollment ID: I20220608002913 |
| Provider Name | Cory Ann Buchanan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255942843 PECOS PAC ID: 6507245065 Enrollment ID: I20220614001712 |
| Provider Name | Kimberly Marie Grider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184353690 PECOS PAC ID: 5496137648 Enrollment ID: I20220804000213 |
| Provider Name | Victoria Neuses |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073995536 PECOS PAC ID: 2961885249 Enrollment ID: I20220818003631 |
| Provider Name | Andrea Tomey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528790086 PECOS PAC ID: 5496130734 Enrollment ID: I20220922001173 |
| Provider Name | Courtney Sebo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801522099 PECOS PAC ID: 5193101392 Enrollment ID: I20220926001037 |
| Provider Name | Vanessa Marie Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629798194 PECOS PAC ID: 1254717424 Enrollment ID: I20220927000279 |
| Provider Name | Jimmy L Chenowith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881353415 PECOS PAC ID: 6002292323 Enrollment ID: I20221010001998 |
| Provider Name | James Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750009213 PECOS PAC ID: 6204202062 Enrollment ID: I20221019001013 |
| Provider Name | Josie Lee Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073240115 PECOS PAC ID: 9234505694 Enrollment ID: I20221026002532 |
| Provider Name | Bryce a Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366083149 PECOS PAC ID: 2860869880 Enrollment ID: I20221104000316 |
| Provider Name | Karley a Garrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215596200 PECOS PAC ID: 8426426586 Enrollment ID: I20221121001437 |
| Provider Name | Anna Powers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831565068 PECOS PAC ID: 0840661252 Enrollment ID: I20230123001955 |
| Provider Name | Susan a Michnay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316216963 PECOS PAC ID: 6406228378 Enrollment ID: I20230202002921 |
| Provider Name | Otteria Trimble |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831885458 PECOS PAC ID: 3779940234 Enrollment ID: I20230530000259 |
| Provider Name | Michelle Renee Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952088619 PECOS PAC ID: 0143680595 Enrollment ID: I20230717001454 |
| Provider Name | Christopher Cox |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619243367 PECOS PAC ID: 8628221595 Enrollment ID: I20230721000225 |
| Provider Name | Jonah Courlione |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114511698 PECOS PAC ID: 1052765468 Enrollment ID: I20231003002337 |
| Provider Name | Ashley Nicole Lucente |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831614015 PECOS PAC ID: 5597112060 Enrollment ID: I20231106003174 |
| Provider Name | Ashley N. Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275874851 PECOS PAC ID: 9335597970 Enrollment ID: I20231121001255 |
| Provider Name | Garrett Auer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639621410 PECOS PAC ID: 0244688737 Enrollment ID: I20231121003610 |
| Provider Name | Bailey Trotter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093401127 PECOS PAC ID: 3274981634 Enrollment ID: I20231122002644 |
| Provider Name | Annegelique Nichole Parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073850574 PECOS PAC ID: 9032567342 Enrollment ID: I20231128000524 |
| Provider Name | Jeanine B Hoffman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194410761 PECOS PAC ID: 9830547900 Enrollment ID: I20231129003673 |
| Provider Name | Melinda M. Humbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538306113 PECOS PAC ID: 5496103418 Enrollment ID: I20231130002149 |
| Provider Name | Jayson C Harvey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679244396 PECOS PAC ID: 9537517412 Enrollment ID: I20231204001022 |
| Provider Name | Tessa Nicole Chapman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720786932 PECOS PAC ID: 8921457276 Enrollment ID: I20231212001167 |
| Provider Name | Patricia Ellen Hardin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851086177 PECOS PAC ID: 2466801600 Enrollment ID: I20231213000591 |
| Provider Name | Margaret Nelle Farnsworth |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730553231 PECOS PAC ID: 4385093483 Enrollment ID: I20231214002945 |
| Provider Name | Sara Chambers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013303502 PECOS PAC ID: 4183073125 Enrollment ID: I20231215000754 |
| Provider Name | Megan Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598423592 PECOS PAC ID: 0749630697 Enrollment ID: I20231219001866 |
| Provider Name | Pamela S Zirkle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447743794 PECOS PAC ID: 9638529266 Enrollment ID: I20231222001660 |
| Provider Name | Sara L Evans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164015095 PECOS PAC ID: 6305297052 Enrollment ID: I20240108003756 |
| Provider Name | Jordyn Leanne Brackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548037534 PECOS PAC ID: 0345691713 Enrollment ID: I20240110001754 |
| Provider Name | Julie Anne Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962492280 PECOS PAC ID: 5395196422 Enrollment ID: I20240112001992 |
| Provider Name | Mary Katrina Knarr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033353859 PECOS PAC ID: 3577915933 Enrollment ID: I20240122001645 |
| Provider Name | Jennifer Singer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831790518 PECOS PAC ID: 4789036963 Enrollment ID: I20240124000218 |
| Provider Name | Andrew J Hirsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760148472 PECOS PAC ID: 8820431901 Enrollment ID: I20240206000823 |
| Provider Name | Amy Elizabeth Levy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518699891 PECOS PAC ID: 5890138994 Enrollment ID: I20240206001354 |
| Provider Name | Kathleen Ayres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447011374 PECOS PAC ID: 9537502687 Enrollment ID: I20240206003314 |
| Provider Name | Shawna Tully |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861504995 PECOS PAC ID: 2567808918 Enrollment ID: I20240308000160 |
| Provider Name | Phillip Wesley Graybiel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750952347 PECOS PAC ID: 0143667816 Enrollment ID: I20240318002952 |
| Provider Name | Daniel Brodsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851418727 PECOS PAC ID: 7315385168 Enrollment ID: I20240329001535 |
| Provider Name | Alison N Grant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467204222 PECOS PAC ID: 4082053822 Enrollment ID: I20240412003381 |
| Provider Name | Stephen a Houston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912364084 PECOS PAC ID: 1456791896 Enrollment ID: I20240501003585 |
| Provider Name | Layla Rainbolt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063098333 PECOS PAC ID: 9234571993 Enrollment ID: I20240525000284 |
| Provider Name | Brenda Wilson-graham |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629421672 PECOS PAC ID: 7911349261 Enrollment ID: I20240531001750 |
| Provider Name | Joel Sanders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760946099 PECOS PAC ID: 7911442926 Enrollment ID: I20240715002477 |
| Provider Name | Cecilia B. Gichaba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215635735 PECOS PAC ID: 7719425271 Enrollment ID: I20240814004287 |
| Provider Name | Christine Lora Gaddis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124859947 PECOS PAC ID: 9436698669 Enrollment ID: I20240830002975 |
| Provider Name | Jennifer Nicole Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649603879 PECOS PAC ID: 0840721874 Enrollment ID: I20241002000260 |
| Provider Name | Heather Schafstall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144995226 PECOS PAC ID: 1759812217 Enrollment ID: I20241008002352 |
| Provider Name | Laura Jurewicz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558891630 PECOS PAC ID: 2567993991 Enrollment ID: I20241009000969 |
| Provider Name | Alison Meriwether |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770314254 PECOS PAC ID: 6406387877 Enrollment ID: I20241009002758 |
| Provider Name | Diane C Addison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578890349 PECOS PAC ID: 2062604747 Enrollment ID: I20241101002342 |
| Provider Name | Brandi Shay Cecil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578299533 PECOS PAC ID: 9133654858 Enrollment ID: I20241119000291 |
| Provider Name | Daja Isom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710668660 PECOS PAC ID: 0143750372 Enrollment ID: I20250204000411 |
| Provider Name | Elizabeth Ann Lake |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801619119 PECOS PAC ID: 1456881259 Enrollment ID: I20250210000545 |
| Provider Name | Destini Alma Ketchens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568207744 PECOS PAC ID: 4789104464 Enrollment ID: I20250225002326 |
| Provider Name | Terineka Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609441823 PECOS PAC ID: 7517366289 Enrollment ID: I20250321001528 |
| Provider Name | Amy Fezzuoglio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316416183 PECOS PAC ID: 9830612332 Enrollment ID: I20250325003209 |
| Provider Name | Melissa Michelle Ayres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124865373 PECOS PAC ID: 5092238758 Enrollment ID: I20250403000234 |
| Provider Name | Angelica Yvonne Hooper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427529320 PECOS PAC ID: 8921432329 Enrollment ID: I20250403001345 |
| Provider Name | Gracen Nicole Dorsch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689474074 PECOS PAC ID: 1850817271 Enrollment ID: I20250429002251 |
| Provider Name | Cory Lee Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497509442 PECOS PAC ID: 2466979299 Enrollment ID: I20250506001383 |
| Provider Name | Alexandra Barnes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316319940 PECOS PAC ID: 5092224030 Enrollment ID: I20250602002704 |
| Provider Name | Erin Eacret |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831866763 PECOS PAC ID: 6406367762 Enrollment ID: I20250614000312 |
| Provider Name | Kayla Pearson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841092525 PECOS PAC ID: 8325556806 Enrollment ID: I20250805003014 |
| Provider Name | Amy Springston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265112098 PECOS PAC ID: 0143682252 Enrollment ID: I20250812002117 |
| Provider Name | Barbara Elisabeth Kiefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003504937 PECOS PAC ID: 4183123185 Enrollment ID: I20250818000646 |
| Provider Name | Tyler Quin Ruch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386207983 PECOS PAC ID: 5496137986 Enrollment ID: I20250821000230 |
| Provider Name | Angela Nicole Kilgore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447995329 PECOS PAC ID: 7719488790 Enrollment ID: I20250830000016 |
| Provider Name | Ashton J Scherrer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356964225 PECOS PAC ID: 4981139540 Enrollment ID: I20250923000205 |
| Provider Name | Brittany Hambleton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679452296 PECOS PAC ID: 0143725077 Enrollment ID: I20250923002644 |
| Provider Name | Lea T Darido |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417831793 PECOS PAC ID: 7113423724 Enrollment ID: I20251002002047 |
| Provider Name | Kaylen Michelle Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417669805 PECOS PAC ID: 3072033679 Enrollment ID: I20251222000698 |
| Provider Name | Chase Aaron Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922611458 PECOS PAC ID: 7315423225 Enrollment ID: I20260110000088 |
| Provider Name | Julie Lynn Quigley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417594383 PECOS PAC ID: 1658859319 Enrollment ID: I20260203002053 |
| Provider Name | Zachery Ryan Wick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568341469 PECOS PAC ID: 8628557139 Enrollment ID: I20260205000702 |
| Provider Name | Emily Claire Kellner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508582925 PECOS PAC ID: 4789059379 Enrollment ID: I20260209000901 |
| Provider Name | Terri Rumfelt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710624051 PECOS PAC ID: 1355810946 Enrollment ID: I20260513000218 |
| Provider Name | Shira Belkov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548577398 PECOS PAC ID: 3870062185 Enrollment ID: I20260515002381 |
| Provider Name | Casie Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700740628 PECOS PAC ID: 4688143902 Enrollment ID: I20260515002448 |
| Provider Name | Felisha Lorelle O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770983231 PECOS PAC ID: 5698038693 Enrollment ID: I20260622001674 |
Heart Logic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2133 Waggoner Ave, Evansville, IN 47714 Phone: 812-610-2482 |
Evansville Lutheran Family Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 E Virginia St, Evansville, IN 47711 Phone: 812-424-5620 Fax: 812-424-5624 |
Deaconess Pain Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 W Lloyd Expy, Evansville, IN 47712 Phone: 812-450-7246 Fax: 812-450-4855 |
Empowerment Behavioral Services,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 John St, Evansville, IN 47713 Phone: 812-454-8829 |
Paul Mefford Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 E Powell Ave, Evansville, IN 47713 Phone: 812-306-3053 |
Cep America - Neurology PC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 Washington Ave, Evansville, IN 47714 Phone: 812-484-4000 |