Individual provider Active NPI

Christopher Lane Hamrick, LMFT

  • Marriage & Family Therapist
  • Valparaiso, IN
National Provider Identifier
1578642112
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35001549A Issued in IN
Practice address
2004 Valparaiso St
Valparaiso, IN 46383-3138
Phone
(219) 477-5646
Fax
(219) 728-4765
NPI assigned
Nov 3, 2006
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35001549A IN Primary

Addresses

Primary practice location

2004 Valparaiso St
Valparaiso, IN 46383-3138

Mailing address

2004 Valparaiso St
Valparaiso, IN 46383-3138
Phone (219) 477-5646

Other practice location 1

2505 Valley Dr
Valparaiso, IN 46383-2518
Phone (219) 477-5646

Other identifiers 1

IdentifierTypeStateIssuer
300048268MedicaidIN

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
I20231206003966 IN Practitioner - Marriage and Family Therapist 0244231926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Concern Counseling IncorporatedGroup PAC ID 2365443041, 16 clinicians

Practice addresses (Care Compare)

2004 Valparaiso St
Valparaiso, IN 46383-3138
Phone (219) 477-5646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Concern Counseling Incorporated Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

2004 Valparaiso St
Valparaiso, IN 46383
Phone (219) 464-1089

2505 Valley Dr
Valparaiso, IN 46383
Phone (219) 263-6714

Organizations & group practices 1

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1578642112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 VALPARAISO ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833138",
            "telephone_number": "219-477-5646",
            "fax_number": "219-728-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 VALPARAISO ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833138",
            "telephone_number": "219-477-5646",
            "fax_number": "219-728-4765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2505 Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463832518",
            "country_code": "US",
            "telephone_number": "219-477-5646",
            "fax_number": "219-462-1579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMRICK",
        "first_name": "CHRISTOPHER",
        "middle_name": "LANE",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001549A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300048268",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.