FOUR COUNTY COMPREHENSIVE MENTAL HEALTH NPI 1053387803

NPI Information

  • NPI: 1053387803
  • Provider Name: FOUR COUNTY COMPREHENSIVE MENTAL HEALTH
  • Classification: Counselor - 101YS0200X
  • Specialization: School
  • Entity Type: Organization
  • :
  • Address: 1015 MICHIGAN AVE
    MAIN CENTER
    LOGANSPORT, IN
    ZIP 46947
  • Phone: (574) 722-5151

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NPI Details

FOUR COUNTY COMPREHENSIVE MENTAL HEALTH is a school counselor in Logansport, IN. FOUR COUNTY COMPREHENSIVE MENTAL HEALTH NPI is 1053387803. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1015 MICHIGAN AVE
MAIN CENTER
LOGANSPORT, IN
ZIP 46947-526
Phone: (574) 722-5151
Fax: (574) 739-1414

The provider's authorized official is Larry Ulrich .
The authorized official title is Ceo and has the following contact phone number (574) 722-5151.

The enumeration date for this NPI number is 2/23/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)427-1-PIPINDIANANo
2101YM0800XCounselorMental Health427-1-PIPINDIANANo
3101YP2500XCounselorProfessional427-0-CMHCINDIANANo
4103TA0700XPsychologistAdult Development & Aging427-1-PIPINDIANANo
5103TB0200XPsychologistCognitive & Behavioral427-1-PIPINDIANANo
6103TC0700XPsychologistClinical427-1-PIPINDIANANo
7103TC1900XPsychologistCounseling427-1-PIPINDIANANo
8103TC2200XPsychologistClinical Child & Adolescent427-1-PIPINDIANANo
91041C0700XSocial WorkerClinical427-1-PIPINDIANANo
101041S0200XSocial WorkerSchool427-1-PIPINDIANANo
11106H00000XMarriage & Family Therapist427-1-PIPINDIANANo
12101YM0800XCounselorMental Health427-0CMHCINDIANANo
13101YP2500XCounselorProfessional427-1-PIPINDIANANo
14101YS0200XCounselorSchool427-1-PIPINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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