Individual provider Active NPI

Kristina Ervin, LMHC

  • Mental Health Counselor
  • Clinton, IN
National Provider Identifier
1437662178
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003152A Issued in IN
Practice address
510 S Main St
Clinton, IN 47842-2416
Phone
(765) 832-2436
NPI assigned
Nov 15, 2017
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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 39003152A IN Primary

Addresses

Primary practice location

510 S Main St
Clinton, IN 47842-2416

Mailing address

620 8TH Ave
Terre Haute, IN 47804-2771
Phone (812) 231-8323

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
I20231209000718 IN Practitioner - Mental Health Counselor 0547619074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Center, Inc.Group PAC ID 4284533662, 42 clinicians

Practice addresses (Care Compare)

620 8TH Ave
Terre Haute, IN 47804-2744
Phone (812) 231-8323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39003152AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Hamilton Center Inc. CurrentSince Jan 1, 2024 Accepting new patients
Hamilton Center, Inc. Past Accepting new patients

Locations

620 8th Ave
Terre Haute, IN 47804
Phone (812) 231-8200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1437662178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 8TH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042771",
            "telephone_number": "812-231-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S MAIN ST",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478422416",
            "telephone_number": "765-832-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "KRISTINA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003152A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IN

Sources for this page

Verify at the official NPI Registry.