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

Active since December 14, 2006
220 S MAIN ST, KENDALLVILLE, IN 46755(260) 347-2453(260) 347-2456 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Northeastern Center NPPES

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

NORTHEASTERN CENTER (NPI 1720140908) is a healthcare organization registered as a community/behavioral health in Kendallville, Indiana and active in the NPI registry since December 2006. The organization lists Jeryl Hollister, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720140908
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameNORTHEASTERN CENTER INC
Location Address220 S MAIN STKendallville, IN 46755-1718
Mailing AddressPo Box 817Kendallville, IN 46755-0817 · (260) 347-2453 · Fax (260) 347-2456
Phone(260) 347-2453
Fax(260) 347-2456
Organization SubpartNo
Authorized OfficialJeryl HollisterCeo · (260) 347-2453
Enumeration DateDecember 14, 2006
Last NPPES UpdateFebruary 21, 2017
✔ NPI 1720140908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in IN · 426-0-CMHC
Definition
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.
220 S MAIN ST, Kendallville, IN 46755
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Other Names 1

Doing Business AsNortheastern Center

Other Identifiers 2

Medicare OSCAR/certification581480IN
Medicaid100190820AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Northeastern Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

29

Medicare enrollment records show 29 clinicians reassign Medicare billing to Northeastern Center, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Mental Health Counselor11
Clinical Social Worker7
Psychiatry5
Marriage and Family Therapist3
Nurse Practitioner2
Certified Clinical Nurse Specialist (CNS)1

Nearest to this location (20)

See all 29
Melissa Foulk, LMHC
Mental Health Counselor
NPI 1932997079
1930 DOWLING ST
Kendallville, IN 46755
(260) 347-4400
✔ PECOS✔ Accepts Medicare1.7 mi
Jana Hernandez
Mental Health Counselor
NPI 1902489560
1930 DOWLING ST
Kendallville, IN 46755
(260) 347-4400
✔ PECOS✔ Accepts Medicare1.7 mi
Susan Kamara, LMHC
Mental Health Counselor
NPI 1841512886
1930 DOWLING ST
Kendallville, IN 46755
(260) 347-4400
✔ PECOS✔ Accepts Medicare1.7 mi
Emiley Rogers-Bly, LMHC
Mental Health Counselor
NPI 1750628343
1930 DOWLING ST
Kendallville, IN 46755
(260) 347-4400
✔ PECOS✔ Accepts Medicare1.7 mi
Wendy Bodwell
Nurse Practitioner
NPI 1356957641
833 E MAIN ST
Albion, IN 46701
(260) 636-6975
✔ PECOS✔ Accepts Medicare8.3 mi
Haley Criswell, LCSW
Clinical Social Worker
NPI 1255155818
833 E MAIN ST
Albion, IN 46701
(260) 636-6975
✔ PECOS8.3 mi
Stacy Lepley, MA, NBCC, LMHC
Mental Health Counselor
NPI 1689213977
501 N ELM ST
Albion, IN 46701
(702) 747-4554
✔ PECOS✔ Accepts Medicare8.6 mi
Jeremy Lewis, MSED, LMFT
Marriage and Family Therapist
NPI 1447492673
1752 WESLEY RD
Auburn, IN 46706
(260) 925-3865
✔ PECOS✔ Accepts Medicare13 mi
Teresa Christ, LMFT
Marriage and Family Therapist
NPI 1598938565
1800 WESLEY RD
Auburn, IN 46706
(260) 925-2453
✔ PECOS✔ Accepts Medicare13 mi
Suzann Doran, LMFT, MAC
Marriage and Family Therapist
NPI 1164695136
1800 WESLEY RD
Auburn, IN 46706
(260) 925-2453
✔ PECOS✔ Accepts Medicare13 mi
Amy Scheeringa, CNS
Certified Clinical Nurse Specialist (CNS)
NPI 1033369897
1800 WESLEY RD
Auburn, IN 46706
(260) 925-2453
✔ PECOS✔ Accepts Medicare13 mi
Liaamia Moore, LMHC
Mental Health Counselor
NPI 1700611530
1800 WESLEY RD
Auburn, IN 46706
(260) 925-2453
✔ PECOS✔ Accepts Medicare13 mi
Patricia Luckey
Mental Health Counselor
NPI 1972388429
1800 WESLEY RD
Auburn, IN 46706
(260) 925-2453
✔ PECOS✔ Accepts Medicare13 mi
Savannah Smith
Mental Health Counselor
NPI 1992561922
1800 WESLEY RD
Auburn, IN 46706
(260) 925-2453
✔ PECOS✔ Accepts Medicare13 mi
Lauren Laroe, PMHNP
Nurse Practitioner
NPI 1154672806
200 HOOSIER DR STE E
Angola, IN 46703
(260) 665-9494
✔ PECOS✔ Accepts Medicare21 mi
Suzanne Sprague, L.C.S.W.
Clinical Social Worker
NPI 1891803235
200 HOOSIER DR SUITE E
Angola, IN 46703
(260) 665-9494
✔ PECOS✔ Accepts Medicare21 mi
Teresa Greiner, M.D.
Psychiatry
NPI 1003834128
3265 INTERTECH DR
Angola, IN 46703
(260) 665-9494
✔ PECOS✔ Accepts Medicare21 mi
Shelley Lafferty, MSW, LCSW
Clinical Social Worker
NPI 1871963504
3265 INTERTECH DR
Angola, IN 46703
(260) 655-9494
✔ PECOS✔ Accepts Medicare21 mi
Connie Ramos, L.C.S.W.
Clinical Social Worker
NPI 1376651711
909 E STATE BLVD
Fort Wayne, IN 46805
(260) 481-2700
✔ PECOS✔ Accepts Medicare25 mi
Larry Lambertson
Psychiatry
NPI 1124019005
909 E STATE BLVD
Fort Wayne, IN 46805
(260) 481-2700
✔ PECOS✔ Accepts Medicare25 mi
See all 29 clinicians

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 Northeastern Center Inc's NPI number?

The NPI number for Northeastern Center Inc is 1720140908. It was assigned to this organization in the NPPES registry on December 14, 2006. The provider is doing business as Northeastern Center.

Where is Northeastern Center Inc located?

Northeastern Center Inc is located at 220 S Main St, Kendallville, IN 46755. The listed phone number is (260) 347-2453.

What is Northeastern Center Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Northeastern Center Inc enrolled in Medicare?

Yes. Northeastern Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeastern Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 6 Medicare specialties reassign their Medicare billing to Northeastern 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 Mental Health Counselor (11), Clinical Social Worker (7) and Psychiatry (5). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northeastern Center Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Northeastern 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 Northeastern Center Inc was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.