| Origins Family Counseling, Llc | |
|
18 E Main St Ste 216 Greenfield IN 46140-5541 | |
| (176) 493-4311 | |
| (317) 649-4375 |
| Full Name | Origins Family Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 18 E Main St Ste 216, Greenfield, Indiana |
| Authorized Official Name and Position | Kristina M Graber (OWNER) |
| Authorized Official Contact | 3176494311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Origins Family Counseling, Llc 18 E Main St Ste 216 Greenfield IN 46140-5541 Ph: (176) 493-4311 | Origins Family Counseling, Llc 18 E Main St Ste 216 Greenfield IN 46140-5541 Ph: (176) 493-4311 |
| NPI Number | 1275075475 |
|---|---|
| Provider Enumeration Date | 11/06/2016 |
| Last Update Date | 02/19/2024 |
| Certification Date | 02/19/2024 |
| Medicare PECOS PAC ID | 3577999184 |
|---|---|
| Medicare Enrollment ID | O20200130000514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275075475 | NPI | - | NPPES |
| 300044207 | Medicaid | IN |
| Provider Name | Erika Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255733663 PECOS PAC ID: 9133488760 Enrollment ID: I20180105000401 |
| Provider Name | Allene Wicker Lilly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952946196 PECOS PAC ID: 1254720444 Enrollment ID: I20211109002060 |
| Provider Name | Kristina M Graber |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083007462 PECOS PAC ID: 1759717374 Enrollment ID: I20240118002463 |
| Provider Name | Karri Anderson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164847299 PECOS PAC ID: 3173943156 Enrollment ID: I20240226002139 |
| Provider Name | Amy M Coats |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306592373 PECOS PAC ID: 2860837218 Enrollment ID: I20240226002186 |
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