Individual provider Active NPI

Brigh Lachele Klitz, LMHC

  • Mental Health Counselor
  • Sullivan, IN
National Provider Identifier
1083441968
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39004496A Issued in IN
Practice address
2200 N Section St
Sullivan, IN 47882-7523
Phone
(812) 268-4311
Fax
(812) 268-2544
NPI assigned
Sep 16, 2024
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39004496A IN Primary

Addresses

Primary practice location

2200 N Section St
Sullivan, IN 47882-7523

Mailing address

PO Box 10
Sullivan, IN 47882-0010
Phone (812) 268-4311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241002000860 IN Practitioner - Mental Health Counselor 0345771390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2200 N Section St
Sullivan, IN 47882-7523
Phone (812) 268-4311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sullivan County Community Hospital CurrentSince Sep 25, 2024 Accepting new patients
Sullivan County Community Hospital CurrentSince Sep 25, 2024 Accepting new patients
Sullivan County Community Hospital CurrentSince Sep 25, 2024 Accepting new patients

Locations

2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1083441968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478820010",
            "telephone_number": "812-268-4311",
            "fax_number": "812-268-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N SECTION ST",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478827523",
            "telephone_number": "812-268-4311",
            "fax_number": "812-268-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLITZ",
        "first_name": "BRIGH",
        "middle_name": "LACHELE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004496A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sullivan, IN

Sources for this page

Verify at the official NPI Registry.