Monira E Ali
Individual provider Active NPI Mental Health Counselor · Gary, IN
NPI 1700344223 · NPPES record last updated Mar 4, 2019
Key facts
- NPI
- 1700344223
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1100 W 6TH Ave
Gary, IN 46402-1711 - Phone
- (219) 885-4264
- NPI assigned
- Mar 4, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|---|
| I20250404003150 | IN | Practitioner - Clinical Social Worker | 6507380078 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewater Systems for Balanced Living, Inc | Current |
Accepting new patients | |
| Edgewater Systems for Balanced Living, Inc. | Current |
Accepting new patients |
Locations
1100 W 6th Ave
Gary, IN 46402
Phone (219) 881-2466
1212 N Broad St
Griffith, IN 46319
Phone (219) 838-1270
Interoperability endpoints
- monira.ali.p1@direct.edgewater.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1100 W 6TH Ave
Gary, IN 46402-1711
Mailing address
409 Chessington Dr
Crown Point, IN 46307-9820
Phone (909) 532-3365
Other providers in Gary, IN
- Ai Counseling Services
- Myra J Akins
- Brian A Aldaz
- Anthony Alexander
- Myza Rae Caboverde Alexander
- All About Holistic Minds
- All Things Autism Inc.
- Mohammad H Almachnouk
- Clive Lionel Alonzo
- Altea Medical Indiana PC
All providers in Gary, 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 Mar 4, 2019. 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.