REGIONAL HEALTH CLINIC
NPI 1477007292
Clinic/Center - Federally Qualified Health Center (FQHC) in Merrillville, IN

Active since August 10, 2016CLIA Certified · 2 labs
8555 TAFT ST, MERRILLVILLE, IN 46410(219) 937-3300(219) 757-1950 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 15, 2023, Aug 10, 2016 (2 updates tracked since 2016).

About Regional Health Clinic NPPES

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

REGIONAL HEALTH CLINIC (NPI 1477007292) is a healthcare organization registered as a federally qualified health center (fqhc) in Merrillville, Indiana and active in the NPI registry since August 2016. The organization holds 2 active CLIA laboratory certificates and lists Robert Krumwied, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477007292
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHLAKE COMMUNITY MENTAL HEALTH CENTER, INC.
Location Address8555 TAFT STMerrillville, IN 46410-6123
Mailing Address8400 Louisiana StMerrillville, IN 46410-6385 · (219) 757-1924 · Fax (219) 757-1928
Fax(219) 757-1950
Organization SubpartNo
Authorized OfficialRobert KrumwiedCeo · (219) 769-4005
Enumeration DateAugust 10, 2016
Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1477007292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
8555 TAFT ST, Merrillville, IN 46410

Other Names 1

Doing Business AsRegional Health Clinic

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Regional Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

74

Medicare enrollment records show 74 clinicians reassign Medicare billing to Regional Health Clinic, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 32 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Clinical Social Worker18
Psychiatry14
Mental Health Counselor12
Clinical Psychologist11
Nurse Practitioner7
Family Practice5
Dentist3
Hospitalist1
3 other specialties3

Nearest to this location (20)

See all 74
Hospitalist
NPI 1659908986
8555 TAFT ST
Merrillville, IN 46410
(219) 769-4005
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1689702300
8555 TAFT ST
Merrillville, IN 46410
(219) 769-4005
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1174363550
8555 TAFT ST
Merrillville, IN 46410
(219) 769-4005
Same address
Nurse Practitioner
NPI 1578171211
8555 TAFT ST
Merrillville, IN 46410
(219) 769-4005
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265084859
8555 TAFT ST
Merrillville, IN 46410
(219) 769-4005
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1336741297
8555 TAFT ST
Merrillville, IN 46410
(219) 769-4005
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1356913578
8555 TAFT ST
Merrillville, IN 46410
(219) 769-4005
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1114927142
8555 TAFT ST
Merrillville, IN 46410
(219) 769-4005
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1053998997
8555 TAFT ST
Merrillville, IN 46410
(313) 346-5235
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1760677868
8555 TAFT ST
Merrillville, IN 46410
(219) 769-4005
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1336810571
8555 TAFT ST
Merrillville, IN 46410
(219) 769-4005
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1962585398
8049 CLEVELAND PLACE
Merrillville, IN 46410
(219) 738-1851
✔ PECOS0.6 mi
Nurse Practitioner
NPI 1104269166
400 W 84TH DR
Merrillville, IN 46410
(219) 769-8641
✔ PECOS✔ Accepts Medicare1.2 mi
Clinical Social Worker
NPI 1033119060
290 A EAST 90TH DRIVE
Merrillville, IN 46410
(219) 736-9115
✔ PECOS✔ Accepts Medicare1.7 mi
Dentist
NPI 1629082755
408 E 86TH AVE
Merrillville, IN 46410
(219) 769-8788
✔ PECOS1.8 mi
Clinical Social Worker
NPI 1174021505
1308 N MAIN ST
Crown Point, IN 46307
(219) 663-6353
✔ PECOS2.1 mi
Clinical Psychologist
NPI 1063571727
8400 LOUISIANA ST
Merrillville, IN 46410
(219) 757-1924
✔ PECOS2.2 mi
Mental Health Counselor
NPI 1104382928
8400 LOUISIANA ST
Merrillville, IN 46410
(219) 757-1800
✔ PECOS2.2 mi
Clinical Psychologist
NPI 1154635043
1441 E 84TH PL
Merrillville, IN 46410
(219) 736-9115
✔ PECOS2.2 mi
Mental Health Counselor
NPI 1134367147
1441 E 84TH PL
Merrillville, IN 46410
(219) 794-2000
✔ PECOS✔ Accepts Medicare2.2 mi
See all 74 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 15D2296719

Regional Health Clinic - Mobile Unit · Merrillville, IN
Active · expires Jan 3, 2028
CLIA Number15D2296719
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 4, 2026
Certificate Expiration DateJanuary 3, 2028
Laboratory DirectorRujuta Gandhi
Laboratory Phone(219) 769-4005
Laboratory LocationRegional Health Clinic - Mobile Unit8555 Taft Street, Room 101, Merrillville, IN 46410
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2131942

Regional Health Clinic · Merrillville, IN
Active · expires Jun 7, 2027
CLIA Number15D2131942
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorKobie I. Douglas
Laboratory Phone(219) 769-4005
Laboratory LocationRegional Health Clinic8555 Taft St, Merrillville, IN 46410
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Southlake Community Mental Health Center, Inc.'s NPI number?

The NPI number for Southlake Community Mental Health Center, Inc. is 1477007292. It was assigned to this organization in the NPPES registry on August 10, 2016. The provider is doing business as Regional Health Clinic.

Where is Southlake Community Mental Health Center, Inc. located?

Southlake Community Mental Health Center, Inc. is located at 8555 Taft St, Merrillville, IN 46410. The listed phone number is (219) 937-3300.

What is Southlake Community Mental Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Southlake Community Mental Health Center, Inc. enrolled in Medicare?

Yes. Southlake Community Mental Health Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southlake Community Mental Health Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 74 clinicians in 11 Medicare specialties reassign their Medicare billing to Southlake Community Mental Health Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (18), Psychiatry (14) and Mental Health Counselor (12). Of these, 11 practice at this address and 32 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southlake Community Mental Health Center, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Southlake Community Mental Health Center, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Southlake Community Mental Health Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southlake Community Mental Health Center, Inc. was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.