Mary Alvanos Deady, LMHC

Individual provider Active NPI Mental Health Counselor · Clinton, IN

NPI 1962073973 · NPPES record last updated Nov 8, 2024

Key facts

NPI
1962073973
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
777 S Main St
Clinton, IN 47842-2493
Phone
(765) 828-1003
NPI assigned
Jul 9, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Professionals Community Health Center Inc (71 clinicians)

Practice addresses (Care Compare)

777 S Main St
Suite 100
Clinton, IN 47842-2493
Phone (765) 828-1003

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 IDStateProvider typePAC IDDetails
I20241002003718 IN Practitioner - Mental Health Counselor 2668903576 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Professionals Community Health Center, Inc. Current
since Oct 1, 2024
Accepting new patients
Valley Professionals Community Health Center Inc Current
since Oct 1, 2024
Accepting new patients

Locations

703 W Park St
Cayuga, IN 47928
Phone (765) 492-9042

777 S Main St
Ste 100
Clinton, IN 47842
Phone (765) 828-1003

1702 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-4400

727 N Lincoln Rd
Rockville, IN 47872
Phone (765) 569-1123

4757 S 7th St
Terre Haute, IN 47802
Phone (812) 234-2289

1530 N 7th St
Ste 201
Terre Haute, IN 47807
Phone (812) 238-7631

601 W National Ave
West Terre Haute, IN 47885
Phone (812) 244-1515

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

777 S Main St
Clinton, IN 47842-2493

Mailing address

777 S Main St
Clinton, IN 47842-2493
Phone (765) 828-1003

Other names

  • Mary Virginia Alvanos Former name

Other providers in Clinton, IN

All providers in Clinton, IN · Mental Health Counselor in Indiana

Sources for this page

Verify at the official NPI Registry.