NORTHEASTERN CENTER
NPI 1720140908
Community/Behavioral Health in Kendallville, IN

NPI Status: Active since December 14, 2006

Contact Information

220 S MAIN ST
KENDALLVILLE, IN
ZIP 46755
Phone: (260) 347-2453
Fax: (260) 347-2456

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  • Organization
  • Community/Behavioral Health
  • Accepts Insurance

About NORTHEASTERN CENTER

This page provides the complete NPI Profile along with additional information for Northeastern Center, a provider established in Kendallville, Indiana operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1720140908 assigned on December 2006. The practitioner's primary taxonomy code is 251S00000X with license number 426-0-CMHC (IN). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Northeastern Center. The authorized official of this NPI record is Jeryl Hollister (Ceo)

NPI
1720140908
Provider Legal Name
NORTHEASTERN CENTER INC
Other Organization Name
NORTHEASTERN CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
220 S MAIN ST KENDALLVILLE, IN 46755
Location Phone
(260) 347-2453
Location Fax
(260) 347-2456
Mailing Address
PO BOX 817 KENDALLVILLE, IN 46755
Mailing Phone
(260) 347-2453
Mailing Fax
(260) 347-2456
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-14-2006
Last Update Date
02-21-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
426-0-CMHC
License State
IN
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Catastrophic Essential (+ Incentives) - HMO
  • Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JERYL HOLLISTER

Authorized Official Title
CEO
Authorized Official Phone
(260) 347-2453

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
581480MEDICARE OSCAR/CERTIFICATION (06)IN 
100190820AMEDICAID (05)IN 

Reviews for NORTHEASTERN CENTER

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1720140908, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 4 + 0 + 2 + 4 + 0 + 9 + 0 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1720140908.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Case Management
220 S MAIN ST
KENDALLVILLE, IN 46755
Social Worker (Clinical)
220 S MAIN ST
KENDALLVILLE, IN 46755
Community/Behavioral Health
220 S MAIN ST
KENDALLVILLE, IN 46755
Community/Behavioral Health
220 S MAIN ST
KENDALLVILLE, IN 46755
Social Worker (Clinical)
220 S MAIN ST
KENDALLVILLE, IN 46755
Counselor (Addiction (Substance Use Disorder))
220 S MAIN ST
KENDALLVILLE, IN 46755
Case Manager/Care Coordinator
220 S MAIN ST
KENDALLVILLE, IN 46755
Case Manager/Care Coordinator
220 S MAIN ST
KENDALLVILLE, IN 46755
Case Manager/Care Coordinator
220 S MAIN ST
KENDALLVILLE, IN 46755
Case Manager/Care Coordinator
220 S MAIN ST
KENDALLVILLE, IN 46755
Case Manager/Care Coordinator
220 S MAIN ST
KENDALLVILLE, IN 46755
Community/Behavioral Health
220 S MAIN ST
KENDALLVILLE, IN 46755
Non-emergency Medical Transport (VAN)
220 S MAIN ST
KENDALLVILLE, IN 46755
Case Manager/Care Coordinator
220 S MAIN ST
KENDALLVILLE, IN 46755
Case Manager/Care Coordinator
220 S MAIN ST
KENDALLVILLE, IN 46755
Case Manager/Care Coordinator
220 S MAIN ST
KENDALLVILLE, IN 46755
Case Manager/Care Coordinator
220 S MAIN ST
KENDALLVILLE, IN 46755
Case Manager/Care Coordinator
220 S MAIN ST
KENDALLVILLE, IN 46755
Case Manager/Care Coordinator
220 S MAIN ST
KENDALLVILLE, IN 46755
Case Manager/Care Coordinator
220 S MAIN ST
KENDALLVILLE, IN 46755

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720140908, enumerated as an "organization" on December 14, 2006.

The provider is located at 220 S MAIN ST KENDALLVILLE, IN 46755 and the phone number is (260) 347-2453.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.