Timothy Lagro, MA
Individual provider Active NPI Mental Health Counselor · Lagrange, IN
NPI 1609124684 · NPPES record last updated Aug 22, 2012
Key facts
- NPI
- 1609124684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 836 N Detroit St
Lagrange, IN 46761-1112 - Phone
- (260) 499-3019
- Fax
- (260) 499-3022
- NPI assigned
- Aug 22, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
836 N Detroit St
Lagrange, IN 46761-1112
Mailing address
850 N Harrison St
Warsaw, IN 46580-3163
Phone (574) 267-7169
Other providers in Lagrange, IN
- Lagrange County Council on Aging
- Lagrange County Dba Lagrange County Health Department
- Lagrange County Home Health Therapy Services,PC
- Lagrange Family Dentistry LLC
- Lagrange Surgery Center, LLC
- Lakeland School Corporation
- Stacey Lang
- Emily E. Lehman
- Stephen A Leininger
- Isaac Gerardo Leon-Acuna
All providers in Lagrange, IN · Mental Health 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 Aug 22, 2012. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.