SOUTHERN HILLS COUNSELING CENTER, INC. (NPI# 1134118276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134118276 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HILLS COUNSELING CENTER, INC. |
| Practice Address |
480 Eversman Dr Jasper IN 47546-3548 |
| Mailing Address |
Po Box 769 Jasper IN 47547-0769 |
| Practice Telephone | 8124823020 |
| Practice Fax Number | 8124826409 |
| Mailing Telephone | 8124823020 |
| Mailing Fax Number | 8124826409 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2013-10-30 |
| Authorized Official Name | MR. RICHARD KENT WHITAKER JR. (ASSOCIATE DIRECTOR/CFO) |
| Authorized Official Telephone | 8124823020 |
| Authorized Official Credential | PH. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100108710 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHERN HILLS COUNSELING CENTER, INCORPORATED | 480 Eversman Dr, Jasper, IN 47546-3548 |
| Street Address |
480 EVERSMAN DR |
| City | JASPER |
| State | IN |
| Zip Code | 47546-3548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998413 | Elijah Sowry | Social Worker | 480 Eversman Dr, Jasper, IN 47546-3548 | 2020-10-07 |
| 1215553821 | Kaitlyn Grace Roth | Social Worker | 480 Eversman Dr, Jasper, IN 47546-3548 | 2020-06-19 |
| 1225678204 | Cassandra Leanne Morton | Social Worker | 480 Eversman Dr, Jasper, IN 47546-3548 | 2020-01-08 |
| 1487128716 | Kimberly Lynn Coles | Case Manager/Care Coordinator | 480 Eversman Dr, Jasper, IN 47546-3548 | 2019-01-21 |
| 1487121687 | Lifespring, Inc | Clinic/Center | 480 Eversman Dr, Jasper, IN 47546-3548 | 2018-10-26 |
| 1487137907 | Tina M Wahl | Counselor | 480 Eversman Dr, Jasper, IN 47546-3548 | 2018-09-11 |
| 1811430010 | Jennifer Bowlds | Social Worker | 480 Eversman Dr, Jasper, IN 47546-3548 | 2016-11-21 |
| 1952844151 | Joseph Rapp'e | Social Worker | 480 Eversman Dr, Jasper, IN 47546-3548 | 2016-11-21 |
| 1366985558 | Rachel Nelson | Social Worker | 480 Eversman Dr, Jasper, IN 47546-3548 | 2016-11-21 |
| 1659821692 | Natalie Renae Kramer | Social Worker | 480 Eversman Dr, Jasper, IN 47546-3548 | 2016-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303572 | Marissa L Brosmer | Registered Nurse | 440 Scott Rolen Drive, Jasper, IN 47546 | 2019-08-30 |
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1427384858 | Therapro LLC | Clinic/Center | 306 1/2 Main Street, Jasper, IN 47546 | 2009-10-20 |
| 1255459780 | Billy Lee Berry | Counselor | 332 3rd Ave, Jasper, IN 47546 | 2007-03-26 |
| 1285776294 | Gregory K. Gordon | Optometrist | 471 Us 231 S, Jasper, IN 47546 | 2007-02-13 |
| 1902951312 | Urology Specialists PC | Urology | 1950 St Charles Street, Suite 3, Jasper, IN 47546 | 2007-01-24 |
| 1568548501 | Ralph E Mehling | Pharmacist | #435 Us 231 S, Jasper, IN 47546 | 2006-10-31 |
| 1962585430 | Heart To Heart Hospice of Southwest Indiana LLC | Hospice Care, Community Based | 415 E 6th St, Jasper, IN 47546 | 2006-10-20 |
| 1245347137 | Roy Elliott Cecchi | Obstetrics & Gynecology | 613 Dorbett Street, Jasper, IN 47546 | 2006-08-24 |
| 1093828790 | Sleep Management Institute LLC | Internal Medicine | 3157 Villa Way, Jasper, IN 47546 | 2006-08-16 |
| Find all providers in zip 47546 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093898553 | Trey Louis Hill | Psychologist | 4330 Medical Plaza East Suite 106, Jasper, AL 35501 | 2006-10-20 |
| 1932186889 | Thomas E Holsworth | Psychologist | 4201 Mannheim Rd Side G, Jasper, IN 47546-9617 | 2005-12-30 |
| 1104253814 | Abby Elizabeth Tenbarge | Psychologist | 480 Eversman Drive, Jasper, IN 47547-0769 | 2013-09-27 |
| 1316374069 | Holly E Hughes | Psychologist | 480 Eversman Drive, Jasper, IN 47547-0769 | 2013-09-26 |
| 1265869903 | Jessica Cody Miller | Psychologist | 480 Eversman Drive, Jasper, IN 47547-0769 | 2013-09-26 |
| 1225206584 | Thomas E Holsworth | Psychologist | 4201 Mannheim Rd, Suite G, Jasper, IN 47546-9617 | 2008-02-20 |
| 1093930299 | Lynn Cooper | Psychologist | 201 Cove Rd, Jasper, GA 30143-1356 | 2007-04-16 |
| 1063555266 | Rolake O Tomori | Psychologist | 2404 Refuge Rd, Jasper, GA 30143-4946 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1841816048 | Christina E Maxwell Phd | Psychologist | 6337 Hollister Driive, Suite 101, Indianapolis, IN 46224-2996 | 2020-06-23 |
| 1154942340 | Craig Allan Nordstrom | Psychologist | 111 E Clearwater Ave, Beverly Shores, IN 46301-0056 | 2020-04-29 |
| 1164052791 | Kadlec Consulting Services, LLC | Psychologist | 5525 Oak Valley Pl, Fort Wayne, IN 46845-1836 | 2020-01-23 |
| 1568001469 | Monica Anne Cotter | Psychologist | Adam Benjamin Jr. Va Outpatient Clinic, 9301 Madison, Crown Point, IN 46307-4630 | 2019-12-26 |
| 1417505538 | John Pierre Rudy | Psychologist | 3464 Cinnamon Trce, Kokomo, IN 46901-3981 | 2019-09-02 |
| 1265995500 | Jamie Garvey | Psychologist | Saint Liam Hall, 220 Main Buildig, Notre Dame, IN 46556 | 2019-04-12 |
| 1902362619 | Geoffrey Edwards Buck | Psychologist | 9245 N Meridian St # 111, Indianapolis, IN 46260-1836 | 2019-02-18 |
| 1447722483 | Steven James Eckert | Psychologist | 4700 Bureau Rd N, Terre Haute, IN 47802-8246 | 2018-12-31 |
| 1215403167 | Sean Kristen Jones | Psychologist | 11725 N Illinois St Ste 355, Carmel, IN 46032-3009 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.