Individual provider Active NPI

Kelvin Twigg, LMHC

  • Mental Health Counselor
  • Marion, IN
National Provider Identifier
1104083930
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39001613A Issued in IN
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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 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

IdentifierTypeStateIssuer
100123170AMedicaidIN

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
I20231218002041 IN Practitioner - Mental Health Counselor 2860841715 Reassigns benefits to 3 organizations

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
Friends Counseling Center IncGroup PAC ID 9133504723, 16 clinicians
Life Center Counseling IncGroup PAC ID 9739695958, 7 clinicians

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

LicenseStateTypeSpecialty
39001613AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Friends Counseling Center, Inc Mental Health CurrentSince Jan 1, 2026 Accepting new patients
Grant-Blackford Mental Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Grant-Blackford Mental Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Life Center Counseling Inc Mental Health CurrentSince Oct 2, 2025 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.

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

Verify at the official NPI Registry.