Active NPI
Kelvin Twigg, LMHC
- Mental Health Counselor
- Marion, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39001613A
- Practice address
- 505 N Wabash Ave
Marion, IN 46952-2608 - Phone
- (765) 662-3971
- Fax
- (765) 668-6718
- NPI assigned
- May 20, 2008
- Last updated
- May 20, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39001613A | IN | Primary |
Addresses
Primary practice location
505 N Wabash Ave
Marion, IN 46952-2608
Mailing address
505 N Wabash Ave
Marion, IN 46952-2608
Phone (765) 662-3971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100123170A | Medicaid | IN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5230 S Western Ave
Marion, IN 46953-5778
Phone (260) 563-8453
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39001613A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friends Counseling Center, Inc | Mental Health | Current | Accepting new patients |
| Grant-Blackford Mental Health, Inc. | Current | Accepting new patients | |
| Grant-Blackford Mental Health, Inc. | Current | Accepting new patients | |
| Life Center Counseling Inc | Mental Health | Current | Accepting new patients |
Locations
410 Pilgrim Blvd
Ste 100
Hartford City, IN 47348
Phone (765) 348-1303
101 S Washington St
Marion, IN 46952
Phone (765) 662-9971
116 E 32nd St
Marion, IN 46953
Phone (765) 662-2039
1502 W Nelson St
Marion, IN 46952
3010 S Adams St
Marion, IN 46953
Phone (765) 662-3971
505 N Wabash Ave
Marion, IN 46952
Phone (765) 662-3971
5230 S Western Ave
Marion, IN 46953
Phone (765) 674-2208
3565 S State Road 13
Wabash, IN 46992
3565 S State Road 13
#C
Wabash, IN 46992
Organizations & group practices 4
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.
-
dba Friends Counseling Center
- Mental Health Counselor
- Wabash, IN
- NPI 1093472664
-
dba Radiant Health Services
- Community/Behavioral Health Agency
- Marion, IN
- NPI 1407848500
-
dba Radiant Health Services
- Community/Behavioral Health Agency
- Marion, IN
- NPI 1437983103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1104083930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 N WABASH AVE",
"city": "MARION",
"state": "IN",
"postal_code": "469522608",
"telephone_number": "765-662-3971",
"fax_number": "765-668-6718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N WABASH AVE",
"city": "MARION",
"state": "IN",
"postal_code": "469522608",
"telephone_number": "765-662-3971",
"fax_number": "765-668-6718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TWIGG",
"first_name": "KELVIN",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-20",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39001613A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100123170A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.