VIGO COUNTY
NPI 1053286690
Nurse Practitioner - Psychiatric/Mental Health in Terre Haute, IN

Active since October 06, 2025
104 S 1ST ST, TERRE HAUTE, IN 47807(812) 462-3381 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vigo County NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIGO COUNTY (NPI 1053286690) is a healthcare organization registered as a psychiatric/mental health in Terre Haute, Indiana and active in the NPI registry since October 2025. The organization lists Mackenzie Goodman, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1053286690
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameVIGO COUNTY
Location Address104 S 1ST STTerre Haute, IN 47807-3404
Mailing Address104 S 1st StTerre Haute, IN 47807-3404
Organization SubpartNo
Authorized OfficialMackenzie GoodmanOffice Manager · (812) 462-3381
Enumeration DateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
NPI 1053286690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
104 S 1ST ST, Terre Haute, IN 47807

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vigo County's NPI number?

The NPI number for Vigo County is 1053286690. It was assigned to this organization in the NPPES registry on October 6, 2025.

Where is Vigo County located?

Vigo County is located at 104 S 1st St, Terre Haute, IN 47807. The listed phone number is (812) 462-3381.

What is Vigo County's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Vigo County was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.