Active NPI
Jeremy Richard Digia, LMHC
- Mental Health Counselor
- Warsaw, IN
National Provider Identifier
1295767713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39001773A
- Practice address
- 850 N Harrison St
Warsaw, IN 46580-3163 - Phone
- (574) 267-7169
- Fax
- (574) 269-3995
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39001773A | IN | Primary |
Addresses
Primary practice location
850 N Harrison St
Warsaw, IN 46580-3163
Mailing address
850 N Harrison St
Warsaw, IN 46580-3163
Phone (574) 267-7169
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39001773A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowen Health Inc | Current | Accepting new patients | |
| Bowen Health Inc | Current | Accepting new patients |
Locations
2100 Goshen Rd
Fort Wayne, IN 46808
Phone (260) 471-3500
990 Illinois St
Plymouth, IN 46563
Phone (574) 936-9646
850 N Harrison St
Warsaw, IN 46580
Phone (219) 267-7169
2621 E Jefferson St
Warsaw, IN 46580
Phone (574) 269-0573
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Warsaw, IN
- NPI 1639172810
-
- Federally Qualified Health Center (FQHC)
- Fort Wayne, IN
- NPI 1023668183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295767713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 N HARRISON ST",
"city": "WARSAW",
"state": "IN",
"postal_code": "465803163",
"telephone_number": "574-267-7169",
"fax_number": "574-269-3995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 N HARRISON ST",
"city": "WARSAW",
"state": "IN",
"postal_code": "465803163",
"telephone_number": "574-267-7169",
"fax_number": "574-269-3995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIGIA",
"first_name": "JEREMY",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39001773A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warsaw, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.