FOUR COUNTY COMPREHENSIVE MENTAL HEALTH
NPI 1053387803
Counselor - School in Logansport, IN

Q: What is Four County Comprehensive Mental Health's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

Active since February 23, 2006CLIA 15D0881668 · Waiver

1015 MICHIGAN AVE, MAIN CENTER, LOGANSPORT, IN 46947(574) 722-5151(574) 739-1414 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Four County Comprehensive Mental Health NPPES

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

FOUR COUNTY COMPREHENSIVE MENTAL HEALTH (NPI 1053387803), doing business as Four County Counseling Center, is a healthcare organization registered as a school in Logansport, Indiana and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through January 13, 2028 and lists Larry Ulrich, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053387803

Entity TypeOrganization

Primary Taxonomy101YS0200X

Legal Business NameFOUR COUNTY COMPREHENSIVE MENTAL HEALTH

Location Address1015 MICHIGAN AVE, MAIN CENTERLogansport, IN 46947-1526

Mailing Address1015 Michigan Ave, Main CenterLogansport, IN 46947-1526 · (574) 722-5151 · Fax (574) 739-1414

Phone(574) 722-5151

Fax(574) 739-1414

Organization SubpartNo

Authorized OfficialLarry UlrichCeo · (574) 722-5151

Enumeration DateFebruary 23, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1053387803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers

Taxonomy Code101YS0200X

License✔ Licensed in IN · 427-1-PIP

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 427-1-PIP (IN)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 427-1-PIP (IN), 427-0CMHC (IN)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 427-0-CMHC (IN), 427-1-PIP (IN)

Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License 427-1-PIP (IN)

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 427-1-PIP (IN)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 427-1-PIP (IN)

Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 427-1-PIP (IN)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 427-1-PIP (IN)

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 427-1-PIP (IN)

Also ListedSocial Worker · SchoolTaxonomy 1041S0200X · License 427-1-PIP (IN)

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 427-1-PIP (IN)

1015 MICHIGAN AVE, Logansport, IN 46947

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Other Names 1

Doing Business AsFour County Counseling Center

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0881668

Four County Comprehensive Mental Health Center · Logansport, IN

Active · expires Jan 13, 2028

CLIA Number15D0881668

Laboratory TypeCommunity Clinic

Certificate Effective DateJanuary 14, 2026

Certificate Expiration DateJanuary 13, 2028

Laboratory DirectorKathleen M. Miller

Laboratory Phone(574) 722-5151

Laboratory LocationFour County Comprehensive Mental Health Center800 Fulton Street, Logansport, IN 46947

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL ANN CAIN RN

Registered Nurse