Vigo County

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

VIGO COUNTY

Practice address

104 S 1St St
Terre Haute, IN 47807-3404

Phone

(812) 462-3381

NPI assigned

Oct 6, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mackenzie Goodman

Title

Office Manager

Phone

(812) 462-3381

Specialties & licenses 1

Addresses

Tax ID family

Vigo County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vigo County Homes for Children

  • Respite Care
  • Terre Haute, IN
  • NPI 1396046736
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley R Delaunois, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Terre Haute, IN
  • NPI 1699397539
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1053286690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S 1ST ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478073404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S 1ST ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478073404",
            "telephone_number": "812-462-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIGO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "812-462-3381"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline R Vegas, CRNA
• Sara Christina Verde
• Gaurav Kumar Verma, M.D.
• Brimika Viar
• Kenzie K Vickers
• Vigo County Health Department
• Vigo County Homes for Children
• Vigo County School Corporation
• Vigo Health Pharmacy Inc
• Vigo Health Pharmacy Inc

• Psychiatric/Mental Health Nurse Practitioner in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.