Hickory Grove Behavioral Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HICKORY GROVE BEHAVIORAL SERVICES, LLC

Doing business as

Hickory Grove Behavioral Services

Practice address

300 Wile St Ste 2
La Porte, IN 46350-5672

Phone

(574) 265-4428

NPI assigned

Dec 10, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Robert Dale Owens II, LMHCNPI 1528381407

Title

Owner

Phone

(574) 265-4428

Specialties & licenses 1

Addresses

Other names 1

• Hickory Grove Behavioral Services Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 3

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

• Robert Dale Owens II

  • Addiction (Substance Use Disorder) Counselor
  • La Porte, IN
  • NPI 1528381407
  Medicare reassignment NPD Authorized official
• Delaney Rae Kirkendall, LSW

  • Social Worker
  • La Porte, IN
  • NPI 1437093572
  NPD
• Hayley Aileen McIntosh, LSW

  • Social Worker
  • La Porte, IN
  • NPI 1770427726
  NPD

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1962218305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 NW 8TH CT",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263509",
            "telephone_number": "574-265-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WILE ST STE 2",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463505672",
            "telephone_number": "574-265-4428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W 18th St",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463506830",
            "country_code": "US",
            "telephone_number": "574-265-4428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "713 NW 8th Ct",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334263509",
            "country_code": "US",
            "telephone_number": "574-265-4428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HICKORY GROVE BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-265-4428",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hickory Grove Behavioral Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hendricks County Hospital (Brickyard Healthcare - Terrace Care Center)
• Beatrice M Hernandez, MD
• John Herod, RPH
• John Thomas Heroldt, ED.D., HSPP
• Pamela J Heyne-Thompson, O.D.
• Lawrence Allen Hicks, O.D.
• Hilbish Drug, Inc.
• Stephanie Hillyer, RD
• Hoback Counseling LLC
• Nancy Hoback, LCSW

• Mental Health Counselor in La Porte, IN
• Providers in La Porte, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.