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GINA LYNN VIVALDI LMHC
NPI 1699321679
Counselor - Mental Health in Greenwood, IN

Active since August 14, 2019PECOS EnrolledAccepts Medicare Assignment
710 EXECUTIVE PARK DR STE 11, GREENWOOD, IN 46143(317) 788-7733 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 14, 2021, Aug 14, 2019 (2 updates tracked since 2019).

About Gina Lynn Vivaldi Lmhc NPPES

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

GINA LYNN VIVALDI LMHC (NPI 1699321679) is an individual mental health provider in Greenwood, Indiana, licensed in Indiana (39004691A) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1699321679
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGINA LYNN VIVALDICredential: LMHC
Location Address710 EXECUTIVE PARK DR STE 11Greenwood, IN 46143-2385
Mailing Address645 S Rogers StBloomington, IN 47403-2353 · (812) 339-1691
Phone(317) 788-7733
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 14, 2019
Last NPPES UpdateJune 15, 20262 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1699321679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 39004691A
710 EXECUTIVE PARK DR STE 11, Greenwood, IN 46143
Open in Google Maps ↗

Secondary Practice Location 1

Location 18320 Madison AveIndianapolis, IN 46227-6066 · Phone (317) 882-5122 · Fax (317) 888-8642

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gina Lynn Vivaldi Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426408030
PECOS Enrollment IDI20231222000829
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Gina Vivaldi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adult And Child Mental Health Center Inc
2.8 mi
Community/Behavioral Health
8320 MADISON AVE
Indianapolis, IN 46227
  • Reassigned Medicare billing, Indiana enrollment
  • 142 clinicians in this Medicare group
NPI 1083432272 (317) 882-5122
Centerstone Of Indiana, Inc.
38 mi
Mental Health (Including Community Mental Health Center)
645 S ROGERS ST
Bloomington, IN 47403
  • Reassigned Medicare billing, Indiana enrollment
  • 251 clinicians in this Medicare group
NPI 1972320224 (812) 339-1691

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

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 Gina Vivaldi's NPI number?

The NPI number for Gina Vivaldi is 1699321679. It was assigned to this individual provider in the NPPES registry on August 14, 2019.

Where is Gina Vivaldi located?

Gina Vivaldi practices at 710 Executive Park Dr Ste 11, Greenwood, IN 46143. The listed phone number is (317) 788-7733.

What is Gina Vivaldi's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Gina Vivaldi enrolled in Medicare?

Yes. Gina Vivaldi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Gina Vivaldi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Vivaldi reassigns Medicare benefits to 2 organizations: Adult And Child Mental Health Center Inc (Indianapolis, IN) and Centerstone Of Indiana, Inc. (Bloomington, IN). Each 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 Gina Vivaldi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gina Vivaldi accept?

Health plans from CareSource and Cigna Healthcare list Gina Vivaldi 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 Gina Vivaldi was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.