Four County Comprehensive Mental Health Center Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER INC

Doing business as

4C Health

Practice address

1000 N Broadway
Peru, IN 46970-1070

Phone

(574) 722-5151

Fax

(574) 739-1414

NPI assigned

Sep 19, 2024

Last updated

Sep 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carrie Ann Cadwell

Title

Ceo

Phone

(574) 721-3983

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• 4C Health Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Four County Mental HLTH Ctr4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Four County Comprehensive Mental Health

  dba Four County Counseling Center

  • School Counselor
  • Logansport, IN
  • NPI 1053387803
  NPD tax ID
• Four County Comprehensive Mental Health

  dba Four County Counseling Center

  • Registered Nurse
  • Logansport, IN
  • NPI 1194895862
  NPD tax ID
• Four County Comprehensive Mental Health Center, Inc

  dba Four County Counseling Center

  • Clinic/Center
  • Logansport, IN
  • NPI 1184052102
  NPD tax ID

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1295562536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 S BUSINESS 31",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469708985",
            "telephone_number": "574-722-5151",
            "fax_number": "574-739-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N BROADWAY",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701070",
            "telephone_number": "574-722-5151",
            "fax_number": "574-739-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 Terrace Dr",
            "address_purpose": "LOCATION",
            "city": "Winamac",
            "state": "IN",
            "postal_code": "469961111",
            "country_code": "US",
            "telephone_number": "574-722-5151",
            "fax_number": "574-739-1414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1948 W Boulevard",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469026078",
            "country_code": "US",
            "telephone_number": "574-722-5151",
            "fax_number": "574-739-1414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 S Main St",
            "address_purpose": "LOCATION",
            "city": "Tipton",
            "state": "IN",
            "postal_code": "460728327",
            "country_code": "US",
            "telephone_number": "574-722-5151",
            "fax_number": "574-739-1414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Logansport",
            "state": "IN",
            "postal_code": "469471577",
            "country_code": "US",
            "telephone_number": "574-722-5151",
            "fax_number": "574-739-1414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 E 8th St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "IN",
            "postal_code": "469751443",
            "country_code": "US",
            "telephone_number": "574-722-5151",
            "fax_number": "574-739-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "CADWELL",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-721-3983"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100464740",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4C Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Flores, DDS
• Bethany Foerg, LMFTA
• Emily Renee Foley, PHARMD
• Tanya Fondekar
• Fort Wayne Orthopedics, LLC
• Four County Comprehensive Mental Health Center Inc (4C Health)
• Four County Comprehensive Mental Health Center, Inc (4C Health)
• David Allen Franklin, MSPT
• Anna Rose Frantz Laughner, LCSW
• Fresenius Medical Care Fort Wayne, LLC (Fresenius Medical Care Peru)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Peru, IN
• Providers in Peru, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.