Organization Active NPI

Mental Health America of Lake County, Inc

Doing business as Mental Health America of Northwest Indiana

  • Clinical Social Worker
  • Hammond, IN
National Provider Identifier
1811689565
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MENTAL HEALTH AMERICA OF LAKE COUNTY, INC
Doing business as
Mental Health America of Northwest Indiana
Practice address
5311 Hohman Ave
Hammond, IN 46320-1809
Phone
(219) 937-7733
NPI assigned
May 22, 2023
Last updated
May 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Brad Wade
Title
VP of Finance
Phone
(219) 937-7733

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Social Worker 104100000X
Clinical Social Worker 1041C0700X Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

5311 Hohman Ave
Hammond, IN 46320-1809

Mailing address

5311 Hohman Ave
Hammond, IN 46320-1809
Phone (219) 937-7733

Other names 1

  • Mental Health America of Northwest Indiana Doing business as

National Provider Directory

National Provider Directory

Locations

5311 Hohman Ave
Hammond, IN 46320
Phone (219) 937-7733

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1811689565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201809",
            "telephone_number": "219-937-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201809",
            "telephone_number": "219-937-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH AMERICA OF LAKE COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "219-937-7733"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Health America of Northwest Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hammond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.