Elizabeth Sickels, LMHC
Individual provider Active NPI Mental Health Counselor · Bloomfield, IN
NPI 1982286811 · NPPES record last updated Sep 6, 2024
Key facts
- NPI
- 1982286811
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 39003946A (IN)
- Practice address
- 431 E Main St
Bloomfield, IN 47424-1460 - Phone
- (812) 384-9452
- Fax
- (812) 384-9445
- NPI assigned
- Apr 21, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hamilton Center, Inc.
Practice addresses (Care Compare)
620 8TH Ave
Terre Haute, IN 47804-2744
Phone (812) 231-8323
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240919000878 | IN | Practitioner - Mental Health Counselor | 5092256925 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39003946A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Center, Inc. | Current |
Accepting new patients | |
| Grow Healthcare Group PA | Mental Health | Current |
Accepting new patients |
| Hamilton Center Inc. | Current |
Accepting new patients | |
| Hamilton Center, Inc. | Past |
Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646
620 8th Ave
Terre Haute, IN 47804
Phone (812) 231-8200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39003946A | IN | Yes |
Addresses
Primary practice location
431 E Main St
Bloomfield, IN 47424-1460
Mailing address
620 8TH Ave
Terre Haute, IN 47804-2771
Phone (812) 231-8242
Other practice location 1
645 S Rogers St
Bloomington, IN 47403-2353
Phone (812) 339-1691
Other providers in Bloomfield, IN
- Ronald Jay Munden, D.D.S.
- Jody Lynn Root
- Kami Ross
- See Purpose LLC
- Rhonda Jo Shotwell
- Jodi Stewart
- Melody Valente
- James C Vandeventer
- Kari Wagner
- Westgate Medical, LLC
All providers in Bloomfield, 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 Sep 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.