Claud Randall Schrock, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39000671A Issued in IN

Practice address

1317 15TH St SE
Demotte, IN 46310-9393

Phone

(219) 477-5646

Fax

(219) 728-4765

NPI assigned

Dec 26, 2006

Last updated

Oct 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Family Concern Counseling Incorporated

  dba Family Concern Counseling

  • Mental Health Counselor
  • Valparaiso, IN
  • NPI 1548352743
  NPD

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1609931062",
    "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": "1317 15TH ST SE",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "463109393",
            "telephone_number": "219-477-5646",
            "fax_number": "219-728-4765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2004 Valparaiso St",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463833138",
            "country_code": "US",
            "telephone_number": "219-477-5646",
            "fax_number": "219-728-4765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROCK",
        "first_name": "CLAUD",
        "middle_name": "RANDALL",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000671A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH CREDENTIALING",
            "identifier": "11419574",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300060332",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiny Row
• Rush-Select Holdings, LLC (RUSH Physical Therapy)
• Cecilia Jean Sampsel, N.P.
• Katherine Sarosy, PTMS
• Amanda Marie Scheidt, NP
• Select Medical Rehabilitation Clinics, Inc. (Select Physical Therapy)
• Bailee Caresse Serocinski, PTA
• Brian D Shields, M.D.
• Stephany Sipe, NP-C
• Frances Jean Smith, FNP

• Mental Health Counselor in Demotte, IN
• Providers in Demotte, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.