Cummins Behavioral Health Systems, Incorporated
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Avon, IN
NPI 1740232115 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1740232115
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- CUMMINS BEHAVIORAL HEALTH SYSTEMS, INCORPORATED
- Practice address
- 5101 E US Highway 36 Ste 100
Avon, IN 46123-6646 - Phone
- (888) 714-1927
- Fax
- (317) 745-9565
- NPI assigned
- May 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Amy Mace, CPA, MBA
- Title
- President & Ceo
- Phone
- (888) 714-1927
Practitioners 358
-
Stephanie Renee Brooks, MS, LPC, NCC
-
Melissa Marie Bush, MA, LMHC
-
Steven A Fekete, M.D.
-
Candace Dawn Hurst, PMHNP-BC
-
Casey Ray, MS, LMHC
-
Susan Lynn Riddle, LCSW
-
Chloe Ellese Schroeter, LCSW
-
Morgan Deann Blevins, LPCC
-
Amanda Marcum, MSW, LCSW
-
Maleni M Angon, LSW
-
Alexandria Rae Arndt, MSW, LSW
-
Megan Burton, PMHNP-BC
-
Kristina M Currier, N.P.
-
Jessica L Frank, MSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031206000039 | IN | Part B Supplier - Clinic/Group Practice | 1850296302 |
Receives reassigned benefits from 66 practitioners Practice locations: Indianapolis, IN; Lebanon, IN; Greencastle, IN; Crawfordsville, IN; Avon, IN |
National Provider Directory
Locations
1540 Darlington Ave
Crawfordsville, IN 47933
308 Medic Way
Greencastle, IN 46135
Phone (317) 653-2669
5638 Professional Cir
Indianapolis, IN 46241
Phone (317) 247-8900
2345 S Lynhurst Dr
Indianapolis, IN 46241
Phone (317) 247-8900
427 N 6th St
Lafayette, IN 47901
Phone (765) 420-0938
940 Lasley Dr
Lebanon, IN 46052
Phone (765) 482-7421
1005 S Meridian St
Lebanon, IN 46052
Phone (765) 482-7421
540 Tracy Rd
Ste C
New Whiteland, IN 46184
Phone (317) 535-0513
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | IN | Yes | |
| Non-emergency Medical Transport (VAN) | 343900000X | IN |
Addresses
Primary practice location
5101 E US Highway 36 Ste 100
Avon, IN 46123-6646
Mailing address
5101 E US Highway 36 Ste 100
Avon, IN 46123-6646
Phone (888) 714-1927
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200097010 | Medicaid | IN |
Other providers in Avon, IN
- Kali Ann Crowell
- Vicki Lynn Crum
- Edson Cuiriz
- Kelly Culver
- Cummins Behavioral Health System
- Richard Cunningham
- Alejo Quirino Cuntapay III
- Robert Dabbs
- Narsing R Damera
- Jill Suzanne Dana
All providers in Avon, IN · Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.