Individual provider Active NPI

Leah Vanwinkle, LPCC, LMHC

  • Mental Health Counselor
  • Princeton, IN
National Provider Identifier
1124630322
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
264660 Issued in KY
Practice address
1982 N State Road 65
Princeton, IN 47670-8503
Phone
(812) 506-9699
NPI assigned
Aug 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 264660 KY Primary

Addresses

Primary practice location

1982 N State Road 65
Princeton, IN 47670-8503

Mailing address

203 N Elm St
Henderson, KY 42420-3132
Phone (270) 826-8761

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
I20231222001935 IN Practitioner - Mental Health Counselor 6507216140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwestern Behavioral Healthcare IncGroup PAC ID 7315842309, 37 clinicians

Practice addresses (Care Compare)

415 Mulberry St
Evansville, IN 47713-1230
Phone (812) 423-7791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
264660KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Behavioral Healthcare, Inc. Multi-Specialty CurrentSince Jul 1, 2024 Accepting new patients
Daviess County Hospital CurrentSince Jan 1, 2024 Accepting new patients
Southwestern Behavioral Healthcare, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Daviess County Hospital Multi-Specialty Current Accepting new patients
Daviess County Hospital Multi-Specialty CurrentSince Jan 1, 2024 Accepting new patients

Locations

219 W Buena Vista Rd
Evansville, IN 47710
Phone (812) 424-2197

60 S Stockwell Rd
Evansville, IN 47714
Phone (812) 476-5437

414 SE 4th St
Evansville, IN 47713
Phone (812) 423-4700

415 Mulberry St
Evansville, IN 47713
Phone (812) 436-4232

1 N Barker Ave
Evansville, IN 47712
Phone (812) 423-4418

4001 John St
Evansville, IN 47714
Phone (812) 473-3144

410 Mulberry St
Evansville, IN 47713
Phone (812) 421-7489

309 N Sawmill St
Mount Vernon, IN 47620
Phone (812) 383-6558

320 S 5th Ave
Princeton, IN 47670
Phone (812) 385-5275

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1124630322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203132",
            "telephone_number": "270-826-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1982 N STATE ROAD 65",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476708503",
            "telephone_number": "812-506-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWINKLE",
        "first_name": "LEAH",
        "credential": "LPCC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "264660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IN

Sources for this page

Verify at the official NPI Registry.