Timothy J Carson, BS
Individual provider Active NPI Mental Health Counselor · Logansport, IN
NPI 1962843490 · NPPES record last updated Jul 12, 2013
Key facts
- NPI
- 1962843490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1015 Michigan Ave
Logansport, IN 46947-1526 - Phone
- (574) 722-5151
- Fax
- (574) 735-2563
- NPI assigned
- Jul 12, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1015 Michigan Ave
Logansport, IN 46947-1526
Mailing address
1015 Michigan Ave
Logansport, IN 46947-1526
Phone (574) 722-5151
Other providers in Logansport, IN
- Kelly Leanne Carden
- Cardinal Center, Inc.
- Cardinal Center, Inc.
- Careage of Logansport, Inc.
- Ryan Joseph Carroll
- Katherine Carter
- Cass County Auditor
- Cass County Auditor
- Cass County EMS
- Cass County Wic Program
All providers in Logansport, IN · Mental Health Counselor 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 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.