| Mobile Mental Wellness, LLC | |
|
1101 Cumberland Xing # 108 Valparaiso IN 46383-2356 | |
| (866) 413-1988 | |
| (866) 628-8599 |
| Full Name | Mobile Mental Wellness, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1101 Cumberland Xing # 108, Valparaiso, Indiana |
| Authorized Official Name and Position | Kimberly Travis (OWNER) |
| Authorized Official Contact | 8664131988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Mental Wellness, LLC 980 N Michigan Ave Ste 1090 Pmb 344989 Chicago IL 60611-4521 Ph: (866) 413-1988 | Mobile Mental Wellness, LLC 1101 Cumberland Xing # 108 Valparaiso IN 46383-2356 Ph: (866) 413-1988 |
| NPI Number | 1497307045 |
|---|---|
| Provider Enumeration Date | 07/14/2019 |
| Last Update Date | 02/02/2026 |
| Certification Date | 02/02/2026 |
| Medicare PECOS PAC ID | 9234461310 |
|---|---|
| Medicare Enrollment ID | O20250818003553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497307045 | NPI | - | NPPES |
| 300007929 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | (NU) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| Provider Name | Kimberly N Travis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194017269 PECOS PAC ID: 6800032848 Enrollment ID: I20171205002091 |
| Provider Name | Karen Lynn Glaza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114426491 PECOS PAC ID: 4385883982 Enrollment ID: I20190830001404 |
| Provider Name | Valerie Perez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952651408 PECOS PAC ID: 1254556780 Enrollment ID: I20211216002160 |
| Provider Name | Yadira Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538877154 PECOS PAC ID: 3274022462 Enrollment ID: I20251028003938 |
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