Maya Bates, MS

Individual provider Active NPI Mental Health Counselor · Greencastle, IN

NPI 1255089967 · NPPES record last updated Mar 11, 2022

Key facts

NPI
1255089967
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
39004163A (IN)
Practice address
239 Hillsdale Ave
Greencastle, IN 46135-1340
Phone
(765) 653-1024
Fax
(765) 653-4931
NPI assigned
Mar 11, 2022
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
39004163AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Center, Inc. Past
since Mar 13, 2022
Accepting new patients
Hamilton Center, Inc. Past
since Mar 13, 2022
Accepting new patients
Hamilton Center Inc. Past
since Mar 13, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39004163A IN Yes

Addresses

Primary practice location

239 Hillsdale Ave
Greencastle, IN 46135-1340

Mailing address

PO Box 4323
Terre Haute, IN 47804-0323
Phone (812) 231-8323

Other providers in Greencastle, IN

All providers in Greencastle, IN · Mental Health Counselor in Indiana

Sources for this page

Verify at the official NPI Registry.