Adjust Mental Health, LLC

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Fishers, IN

NPI 1841990686 · NPPES record last updated Jul 25, 2024

Key facts

NPI
1841990686
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Legal business name
ADJUST MENTAL HEALTH, LLC
Practice address
10100 Lantern Rd Ste 250
Fishers, IN 46037-9408
Phone
(317) 992-1988
NPI assigned
Mar 9, 2023
Organization subpart
No

Authorized official

Name
Keegan Crocker, PMHNP-BC
Title
Owner
Phone
(317) 992-1988

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240426001143 IN Part B Supplier - Clinic/Group Practice 9537509328 Receives reassigned benefits from 3 practitioners
Practice locations: Fishers, IN

National Provider Directory

Locations

11650 Lantern Rd
Ste 134
Fishers, IN 46038
Phone (317) 992-1988

10100 Lantern Rd
Ste 250
Fishers, IN 46037
Phone (317) 992-1988

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X
Psychiatric/Mental Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LP0808X Yes

Addresses

Primary practice location

10100 Lantern Rd Ste 250
Fishers, IN 46037-9408

Mailing address

10100 Lantern Rd Ste 250
Fishers, IN 46037-9408
Phone (317) 992-1988

Other practice location 1

13908 Fieldcrest Dr
McCordsville, IN 46055-7202
Phone (317) 992-1988

Other practice location 2

14726 Rosebud Dr
Noblesville, IN 46060-4714
Phone (317) 981-1988

Other providers in Fishers, IN

All providers in Fishers, IN · Psychiatric/Mental Health Nurse Practitioner in Indiana

Sources for this page

Verify at the official NPI Registry.