JED MENTAL HEALTH PC (NPI# 1568739910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568739910 |
| Entity Type | Organization |
| Organization Name | JED MENTAL HEALTH PC |
| Practice Address |
192 N State Road 267 Suite 300 Avon IN 46123-9513 |
| Practice Telephone | 3176726400 |
| Practice Fax Number | 3176726400 |
| Mailing Telephone | 3176726400 |
| Mailing Fax Number | 3176726401 |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2016-01-31 |
| Authorized Official Name | MRS. JANE ELIZABETH DINUNZIO (PRESIDENT) |
| Authorized Official Telephone | 3176726400 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 34005048A | IN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE PTAN | M100060443 | 01 |
| Street Address |
192 N STATE ROAD 267 SUITE 300 |
| City | AVON |
| State | IN |
| Zip Code | 46123-9513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306897913 | Kathy Santon | Registered Nurse | 192 N State Road 267, Suite 300, Avon, IN 46123-9513 | 2006-05-16 |
| 1114296506 | Santon Mental Health Services | Community/Behavioral Health | 192 N State Road 267, Suite 300, Avon, IN 46123-9513 | 2011-12-14 |
| 1124250121 | Lelyne De Joyner | Marriage & Family Therapist | 192 N State Road 267, Suite 300, Avon, IN 46123-9513 | 2009-08-10 |
| 1447440755 | Ds Penrod & Assoc | Counselor | 192 N State Road 267, 300, Avon, IN 46123-9513 | 2007-08-01 |
| 1154373256 | Jane Elizabeth Dinunzio | Social Worker | 192 N State Road 267, Suite 300, Avon, IN 46123-9513 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417597832 | Mindful Journey Therapy | Community/Behavioral Health | 3405 Spruce Ct, Avon, OH 44011-3702 | 2020-01-14 |
| 1326336199 | Wellspring Psychological Services, LLC | Community/Behavioral Health | 152 Simsbury Rd # 9b, Building 9, Avon, CT 06001-3777 | 2011-07-14 |
| 1942754148 | Present Awareness, LLC | Community/Behavioral Health | 124 Simsbury Rd, Avon, CT 06001-3743 | 2016-08-05 |
| 1295189652 | Nlt Counseling Service LLC | Community/Behavioral Health | 192 N Avon Ave, Suite 300, Avon, IN 46123-9513 | 2016-04-21 |
| 1942603998 | Elizabeth I Jucevics | Community/Behavioral Health | 412 W Avon Rd, Avon, CT 06001-2500 | 2014-10-06 |
| 1710303110 | Senior Care Counseling Connection LLC | Community/Behavioral Health | 8103 E Us Highway 36, 158, Avon, IN 46123-7964 | 2014-03-10 |
| 1114296506 | Santon Mental Health Services | Community/Behavioral Health | 192 N State Road 267, Suite 300, Avon, IN 46123-9513 | 2011-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473529 | Susan M Baker, Lcsw Inc | Community/Behavioral Health | 404 Washington St Ste 201-2, Columbus, IN 47201-6791 | 2020-10-04 |
| 1710599154 | We Are The Village Inc. | Community/Behavioral Health | 623 Washington St, Gary, IN 46402-2401 | 2020-08-18 |
| 1750993218 | Minds Matter, LLC | Community/Behavioral Health | 2205 E Morgan Ave Ste 122, Evansville, IN 47711-4358 | 2020-08-17 |
| 1629695739 | Connieflower Behavioral Health | Community/Behavioral Health | 6738 Tramcus Dr, Indianapolis, IN 46260-4586 | 2020-07-06 |
| 1437773322 | Carter Counseling Services LLC | Community/Behavioral Health | 1387 N Shadeland Ave Ste B, Indianapolis, IN 46219-3605 | 2020-06-05 |
| 1568084416 | Renaissance Counseling Center,llc | Community/Behavioral Health | 1210 Guthrie St, Fort Wayne, IN 46802 | 2020-05-14 |
| 1013538081 | Progressions Counseling, LLC | Community/Behavioral Health | 250 S Washington St Ste 2, Hobart, IN 46342-4151 | 2020-05-01 |
| 1265061998 | Gateway Psychological Services | Community/Behavioral Health | 435 E Main St Ste 195, Greenwood, IN 46143-1456 | 2020-04-04 |
| 1619500626 | Family Strength Services | Community/Behavioral Health | 10026 E 21st St Ste 9, Indianapolis, IN 46229-1802 | 2020-02-18 |
| 1619509080 | Revive Counseling and Wellness | Community/Behavioral Health | 317 S Eddy St, South Bend, IN 46617-3201 | 2020-02-04 |
| 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.