Four County Comprehensive Mental Health Center, Inc
Organization Active NPI Psychiatric Hospital · Peru, IN
NPI 1457539751 · NPPES record last updated Sep 19, 2024
Key facts
- NPI
- 1457539751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital 283Q00000X
- License
- 427-1-PIP (IN)
- Legal business name
- FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER, INC
- Practice address
- 1000 N Broadway
Peru, IN 46970-1070 - Phone
- (574) 722-5151
- Fax
- (574) 739-1414
- NPI assigned
- Feb 8, 2008
- Organization subpart
- No
Authorized official
- Name
- Carrie Ann Cadwell
- Title
- Ceo
- Phone
- (574) 721-3983
Practitioners 159
-
Jane Nancy Abbott-Rider, MSN, APN
-
Maren Blevins, LCSW
-
Caroline Blower, LCSW
-
Julie M Caldwell Harrell, LCSW
-
Samantha Cook, MSW, LSCW
-
Deborah Davidson, MSN, APN
-
Nizar El-Khalili, M.D.
-
Heather Fisher, LCSW
-
Tanika D Forestal, LMFT
-
John W. George, LCSW, SWL,
-
Matthew Gregory Grant, PSY.D.
-
Cindy Sue Green-Smith, LCSW
-
Jean A Halfast, LCSW, LCAC
-
Amy Charters Herron Miller, MS, APN
-
Casey Hill, NP
-
Katelyn Holcomb, LMFTA
-
Tracy L Kauffman, LCSW
-
Lindie M Leary, MS
-
Mark R Lentz, NP
-
Holly Lynn Lewis, LCSW
-
Melanie Lowman, MA
National Provider Directory
Locations
1948 W Boulevard
#4C
Kokomo, IN 46902
1954 W Boulevard
#Four
Kokomo, IN 46902
1954 W Boulevard
Kokomo, IN 46902
Phone (765) 452-5437
2496 E County Road 125 N
Logansport, IN 46947
Phone (574) 722-4042
1120 Spear St
Logansport, IN 46947
Phone (574) 732-0701
1807 Smith St
Logansport, IN 46947
Phone (574) 732-1414
801 S 6TH St Ste D
4C Health
Monticello, IN 47960
655 E Main St
Peru, IN 46970
Phone (765) 472-1931
2355 S Business 31
Peru, IN 46970
661 E Main St
#B
Peru, IN 46970
Phone (765) 472-1931
401 E 8th St
Rochester, IN 46975
Phone (574) 223-8565
405 Fairgrounds Rd
Tipton, IN 46072
Phone (765) 408-0536
613 Terrace Dr
#Four
Winamac, IN 46996
144 S 100 W
Rm 3
Winamac, IN 46996
Phone (574) 946-4233
118 N Sally Dr
Winamac, IN 46996
Phone (574) 946-4233
2418 Curtis Dr
#4C
Winamac, IN 46996
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | 427-1-PIP | IN | Yes |
Addresses
Primary practice location
1000 N Broadway
Peru, IN 46970-1070
Mailing address
2355 S Business 31
Peru, IN 46970-8985
Phone (574) 722-5151
Other practice location 1
1015 Michigan Ave
Logansport, IN 46947-1526
Phone (574) 722-5151
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100273560 | Medicaid | IN |
Other names
- 4C Health
Other providers in Peru, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.