Caitlin Amos
Individual provider Active NPI Professional Counselor · Crown Point, IN
NPI 1487360897 · NPPES record last updated Jan 30, 2023
Key facts
- NPI
- 1487360897
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 88001486A (IN)
- Practice address
- 14717 Chase St
Crown Point, IN 46307-8390 - Phone
- (619) 633-0223
- NPI assigned
- Jan 30, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
14717 Chase St
Crown Point, IN 46307-8390
2621 E Jefferson St
Warsaw, IN 46580-3880
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250902002632 | IN | Practitioner - Mental Health Counselor | 6305347121 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88001486A | IN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowen Health Inc | Current |
Accepting new patients | |
| Bowen Health Inc | Current | Accepting new patients |
Locations
850 N Harrison St
Warsaw, IN 46580
Phone (219) 267-7169
2621 E Jefferson St
Warsaw, IN 46580
Phone (574) 269-0573
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 88001486A | IN | Yes |
Addresses
Primary practice location
14717 Chase St
Crown Point, IN 46307-8390
Mailing address
14717 Chase St
Crown Point, IN 46307-8390
Phone (619) 633-0223
Other providers in Crown Point, IN
- Jaselyn Alvarez
- American Oxygen and Medical Equipment, Inc
- American Partners LP
- Anisha Ashwin Amin
- Dustina Ammon
- Grace Amponsah
- Heather Myree Anderson
- Julissa Lynn Anderson
- Kari Ann Anderson
- Natalie Rueth Anderson
All providers in Crown Point, IN · Professional Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.