Provider Demographics
NPI:1467560102
Name:ADAMS COUNSELING AND ASSESSMENT
Entity Type:Organization
Organization Name:ADAMS COUNSELING AND ASSESSMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROB
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, NCSP
Authorized Official - Phone:765-778-0380
Mailing Address - Street 1:1 PLAZA DR
Mailing Address - Street 2:SUITE 6
Mailing Address - City:PENDLETON
Mailing Address - State:IN
Mailing Address - Zip Code:46064-8823
Mailing Address - Country:US
Mailing Address - Phone:765-778-0380
Mailing Address - Fax:765-778-8328
Practice Address - Street 1:1 PLAZA DR
Practice Address - Street 2:SUITE 6
Practice Address - City:PENDLETON
Practice Address - State:IN
Practice Address - Zip Code:46064-8823
Practice Address - Country:US
Practice Address - Phone:765-778-0380
Practice Address - Fax:765-778-8328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN160850Medicare ID - Type Unspecified