NPIMap

Organization Active NPI

Deaconess Hospital Inc

  • Mental Health Counselor
  • Evansville, IN
National Provider Identifier
1508723552
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DEACONESS HOSPITAL INC
Practice address
120 SE 4TH St
Evansville, IN 47708-1607
Phone
(812) 471-4611
Fax
(812) 471-4643
NPI assigned
Jan 9, 2026
Last updated
Jan 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Cheryl Annette Wathen
Title
Cfo
Phone
(812) 450-3296

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X
Mental Health Counselor 101YM0800X Primary
Clinical Social Worker 1041C0700X
Psychiatry Physician 2084P0800X

Addresses

Primary practice location

120 SE 4TH St
Evansville, IN 47708-1607

Mailing address

PO Box 632281
Cincinnati, OH 45263-2281

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040115000129 IN Part B Supplier - Clinic/Group Practice 9032021431 Receives reassigned benefits from 719 practitioners
43 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Evansville, IN; Newburgh, IN

Other NPIs on the same Medicare enrollment 43

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

View all 43

National Provider Directory

National Provider Directory
Tax ID family
Tom P Martin MD48 organizations share this tax ID, including this one

Other organizations with this tax ID 47

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

View all 47

Locations (25 of 34)

120 SE 4th St
Evansville, IN 47708
Phone (812) 426-6638

120 SE 4th St
Ste 1100
Evansville, IN 47708
Phone (812) 426-9553

120 SE 4th St
Ste 3200
Evansville, IN 47708
Phone (812) 426-9355

1750 Oak Hill Rd
#100
Evansville, IN 47711
Phone (812) 424-4602

2017 N Green River Rd
Evansville, IN 47715
Phone (812) 471-0351

350 W Columbia St
Ste LL10
Evansville, IN 47710
Phone (812) 450-3852

3844 N 1st Ave
Evansville, IN 47710
Phone (812) 421-2884

415 W Columbia St
#110
Evansville, IN 47710
Phone (812) 450-3363

4494 N 1st Ave
Evansville, IN 47710
Phone (812) 436-7293

4550 W Lloyd Expy
Evansville, IN 47712
Phone (812) 421-2884

4949 Healthy Way
Ste B
Evansville, IN 47715
Phone (812) 492-5270

520 Mary St
Ste 130
Evansville, IN 47710
Phone (812) 250-0100

520 Mary St
Ste 280
Evansville, IN 47710
Phone (812) 450-3353

600 Mary St
Rm 2315
Evansville, IN 47710
Phone (812) 450-2955

611 Harriet St
#103
Evansville, IN 47710
Phone (812) 422-6376

611 Harriet St
Ste 501
Evansville, IN 47710
Phone (812) 450-7700

7307 E Columbia St
Ste 101
Evansville, IN 47715
Phone (812) 473-1737

7307 E Columbia St
Ste 102
Evansville, IN 47715
Phone (812) 491-7467

7307 E Columbia St
Ste 200
Evansville, IN 47715
Phone (812) 473-1737

214 E 17th St
#4A
Huntingburg, IN 47542

4007 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-0907

4015 Gateway Blvd
#3
Newburgh, IN 47630
Phone (812) 858-6244

4015 Gateway Blvd
Ste 2122
Newburgh, IN 47630
Phone (812) 842-2345

4055 Gateway Blvd
#1200
Newburgh, IN 47630
Phone (812) 858-2273

4219 Gateway Blvd
Ste 1004
Newburgh, IN 47630
Phone (812) 842-2000

Practitioners & affiliated clinicians

Practitioners 792

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 792

NPI Registry JSON

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

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1508723552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632281",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SE 4TH ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081607",
            "telephone_number": "812-471-4611",
            "fax_number": "812-471-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEACONESS HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "WATHEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "812-450-3296"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.