NPIMap

Organization Active NPI

Grant-Blackford Mental Health, Inc.

Doing business as Radiant Health Services

  • Community/Behavioral Health Agency
  • Marion, IN
National Provider Identifier
1437983103
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GRANT-BLACKFORD MENTAL HEALTH, INC.
Doing business as
Radiant Health Services
Practice address
505 N Wabash Ave
Marion, IN 46952-2608
Phone
(765) 662-3971
NPI assigned
Aug 27, 2024
Last updated
Jan 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Stacy Hayes
Title
Workflow Analyst & Credentialing
Phone
(765) 667-8520

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

505 N Wabash Ave
Marion, IN 46952-2608

Mailing address

505 N Wabash Ave
Marion, IN 46952-2608
Phone (765) 662-3971

Other practice location 1

410 Pilgrim Blvd Ste 100
Hartford City, IN 47348-1382
Phone (765) 348-1303

Other practice location 2

3010 S Adams St
Marion, IN 46953-4026
Phone (765) 664-7792

Other practice location 3

116 E 32nd St
Marion, IN 46953-4060
Phone (765) 662-2039

Other practice location 4

101 S Washington St
Marion, IN 46952-3867
Phone (765) 662-9971

Other names 1

  • Radiant Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040607001089 IN Part B Supplier - Clinic/Group Practice 9739177528 Receives reassigned benefits from 40 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marion, IN; Hartford City, IN

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Grant-Blackford Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1515 S Monroe St
Hartford City, IN 47348
Phone (765) 662-3971

101 S Washington St
Marion, IN 46952
Phone (765) 662-9971

116 E 32nd St
Marion, IN 46953
Phone (765) 662-2039

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1437983103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N WABASH AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522608",
            "telephone_number": "765-662-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N WABASH AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522608",
            "telephone_number": "765-662-3971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Pilgrim Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hartford City",
            "state": "IN",
            "postal_code": "473481382",
            "country_code": "US",
            "telephone_number": "765-348-1303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3010 S Adams St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469534026",
            "country_code": "US",
            "telephone_number": "765-664-7792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 E 32nd St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469534060",
            "country_code": "US",
            "telephone_number": "765-662-2039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469523867",
            "country_code": "US",
            "telephone_number": "765-662-9971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRANT-BLACKFORD MENTAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "WORKFLOW ANALYST & CREDENTIALING",
        "authorized_official_telephone_number": "765-667-8520"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Radiant Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.