Individual provider Active NPI

Terry L. Schrock, MS, LMHC

  • Mental Health Counselor
  • Kokomo, IN
National Provider Identifier
1427127703
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1907 W Sycamore St
St. Joseph Hospital & Health Center
Kokomo, IN 46904-9010
Phone
(765) 456-5900
Fax
(765) 456-5815
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IN Primary

Addresses

Primary practice location

1907 W Sycamore St
St. Joseph Hospital & Health Center
Kokomo, IN 46904-9010

Mailing address

2321 Brookwood Dr
Logansport, IN 46947-1205
Phone (765) 456-5900

Other identifiers 3

IdentifierTypeStateIssuer
000000391215OtherINANTHEM BXBS ID NUMBER
11548735OtherINCAQH ID NUMBER
SCHRO-0006OtherINCOMPCARE ID NUMBER

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
I20240405002470 IN Practitioner - Mental Health Counselor 3577901701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Four County Comprehensive Mental Health Center IncGroup PAC ID 2163334277, 42 clinicians

Practice addresses (Care Compare)

800 Fulton St
Logansport, IN 46947-1577
Phone (574) 722-5151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
390005156AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Four County Comprehensive Mental Health Center Inc CurrentSince Apr 1, 2024 Accepting new patients
Four County Comprehensive Mental Health Center, Inc CurrentSince Apr 1, 2024 Accepting new patients

Locations

1948 W Boulevard
Kokomo, IN 46902
Phone (765) 236-1290

1015 Michigan Ave
Logansport, IN 46947

800 Fulton St
Logansport, IN 46947
Phone (574) 205-2600

2355 S Business 31
Peru, IN 46970

1000 N Broadway
Peru, IN 46970
Phone (765) 472-5335

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427127703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 BROOKWOOD DR",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471205",
            "telephone_number": "765-456-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 W SYCAMORE ST",
            "address_2": "ST. JOSEPH HOSPITAL & HEALTH CENTER",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469049010",
            "telephone_number": "765-456-5900",
            "fax_number": "765-456-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROCK",
        "first_name": "TERRY",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BXBS ID NUMBER",
            "identifier": "000000391215",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID NUMBER",
            "identifier": "11548735",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPCARE ID NUMBER",
            "identifier": "SCHRO-0006",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.