Active NPI
Personal Counseling Services, Inc.
- Mental Health Counselor
- Clarksville, IN
National Provider Identifier
1285793380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PERSONAL COUNSELING SERVICES, INC.
- Practice address
- 1205 Applegate Lane
Clarksville, IN 47129 - Phone
- (812) 283-8383
- Fax
- (812) 283-8429
- NPI assigned
- Dec 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Douglas Steven Drake, MBA
- Title
- President/Ceo
- Phone
- (812) 206-4273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1205 Applegate Lane
Clarksville, IN 47129
Mailing address
1205 Applegate Lane
Clarksville, IN 47129
Phone (812) 283-8383
Other names 1
- Personal Counseling Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250820004024 | IN | Part B Supplier - Clinic/Group Practice | 2264931880 |
Receives reassigned benefits from 10 practitioners Practice locations: Clarksville, IN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2245339 | Personal Counseling Services, Inc | Certificate of waiver | Dec 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
1205 Applegate Ln
Clarksville, IN 47129
Phone (812) 206-4278
201 E 3rd St
Seymour, IN 47274
Practitioners & affiliated clinicians
Practitioners 24
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Clarksville, IN
- NPI 1417412404
IN
-
- Clinical Child & Adolescent Psychologist
- Clarksville, IN
- NPI 1265742969
IN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749600000000",
"number": "1285793380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 APPLEGATE LANE",
"city": "CLARKSVILLE",
"state": "IN",
"postal_code": "47129",
"telephone_number": "812-283-8383",
"fax_number": "812-283-8429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 APPLEGATE LANE",
"city": "CLARKSVILLE",
"state": "IN",
"postal_code": "47129",
"telephone_number": "812-283-8383",
"fax_number": "812-283-8429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSONAL COUNSELING SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A",
"authorized_official_last_name": "DRAKE",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "STEVEN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "812-206-4273",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Personal Counseling Service",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Clarksville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.