NORTHEASTERN CENTER
Medicare Clinicians for 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

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

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Northeastern Center in Kendallville, IN bills Medicare for 29 clinicians across 6 Medicare specialties. The largest specialties are Mental Health Counselor with 11, Clinical Social Worker with 7 and Psychiatry with 5. Of these, 7 practice within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

29Clinicians
6Medicare specialties
29PECOS enrolled
26Accept Medicare
29 clinicians in 6 specialties

Mental Health Counselor (11)

Mental Health Counselor
NPI 1932997079
1930 DOWLING ST
Kendallville, IN 46755
(260) 347-4400
✔ PECOS✔ Accepts Medicare1.7 mi
Mental Health Counselor
NPI 1902489560
1930 DOWLING ST
Kendallville, IN 46755
(260) 347-4400
✔ PECOS✔ Accepts Medicare1.7 mi
Mental Health Counselor
NPI 1841512886
1930 DOWLING ST
Kendallville, IN 46755
(260) 347-4400
✔ PECOS✔ Accepts Medicare1.7 mi
Mental Health Counselor
NPI 1750628343
1930 DOWLING ST
Kendallville, IN 46755
(260) 347-4400
✔ PECOS✔ Accepts Medicare1.7 mi
Mental Health Counselor
NPI 1689213977
501 N ELM ST
Albion, IN 46701
(702) 747-4554
✔ PECOS✔ Accepts Medicare8.6 mi
Mental Health Counselor
NPI 1700611530
1800 WESLEY RD
Auburn, IN 46706
(260) 925-2453
✔ PECOS✔ Accepts Medicare13 mi
Mental Health Counselor
NPI 1972388429
1800 WESLEY RD
Auburn, IN 46706
(260) 925-2453
✔ PECOS✔ Accepts Medicare13 mi
Mental Health Counselor
NPI 1992561922
1800 WESLEY RD
Auburn, IN 46706
(260) 925-2453
✔ PECOS✔ Accepts Medicare13 mi
Mental Health Counselor
NPI 1114766458
3265 INTERTECH DR
Angola, IN 46703
(260) 665-9494
✔ PECOS✔ Accepts Medicare21 mi
Mental Health Counselor
NPI 1366469223
909 E STATE BLVD
Fort Wayne, IN 46805
(260) 481-2700
✔ PECOS✔ Accepts Medicare25 mi
Mental Health Counselor
NPI 1467471466
612 E BRISTOL ST
Elkhart, IN 46514
(574) 266-2050
✔ PECOS41 mi

Clinical Social Worker (7)

Clinical Social Worker
NPI 1255155818
833 E MAIN ST
Albion, IN 46701
(260) 636-6975
✔ PECOS8.3 mi
Clinical Social Worker
NPI 1891803235
200 HOOSIER DR SUITE E
Angola, IN 46703
(260) 665-9494
✔ PECOS✔ Accepts Medicare21 mi
Clinical Social Worker
NPI 1871963504
3265 INTERTECH DR
Angola, IN 46703
(260) 655-9494
✔ PECOS✔ Accepts Medicare21 mi
Clinical Social Worker
NPI 1376651711
909 E STATE BLVD
Fort Wayne, IN 46805
(260) 481-2700
✔ PECOS✔ Accepts Medicare25 mi
Clinical Social Worker
NPI 1942571369
2121 LAKE AVE
Fort Wayne, IN 46805
(800) 360-8387
✔ PECOS✔ Accepts Medicare26 mi
Clinical Social Worker
NPI 1205173309
1717 S CALHOUN ST
Fort Wayne, IN 46802
(260) 458-2641
✔ PECOS✔ Accepts Medicare27 mi
Clinical Social Worker
NPI 1104294180
311 S EDDY ST
South Bend, IN 46617
(574) 213-2456
✔ PECOS✔ Accepts Medicare53 mi

Psychiatry (5)

Psychiatry
NPI 1003834128
3265 INTERTECH DR
Angola, IN 46703
(260) 665-9494
✔ PECOS✔ Accepts Medicare21 mi
Psychiatry
NPI 1124019005
909 E STATE BLVD
Fort Wayne, IN 46805
(260) 481-2700
✔ PECOS✔ Accepts Medicare25 mi
Psychiatry
NPI 1548257488
500 W VOTAW ST
Portland, IN 47371
(260) 418-7036
✔ PECOS✔ Accepts Medicare71 mi
Psychiatry
NPI 1881686020
3903 INDIANAPOLIS BLVD
East Chicago, IN 46312
(219) 398-7050
✔ PECOS✔ Accepts Medicare116 mi
Psychiatry
NPI 1508838657
720 N MARR RD
Columbus, IN 47201
(812) 314-3500
✔ PECOS159 mi

Marriage and Family Therapist (3)

Marriage and Family Therapist
NPI 1447492673
1752 WESLEY RD
Auburn, IN 46706
(260) 925-3865
✔ PECOS✔ Accepts Medicare13 mi
Marriage and Family Therapist
NPI 1598938565
1800 WESLEY RD
Auburn, IN 46706
(260) 925-2453
✔ PECOS✔ Accepts Medicare13 mi
Marriage and Family Therapist
NPI 1164695136
1800 WESLEY RD
Auburn, IN 46706
(260) 925-2453
✔ PECOS✔ Accepts Medicare13 mi

Nurse Practitioner (2)

Nurse Practitioner
NPI 1356957641
833 E MAIN ST
Albion, IN 46701
(260) 636-6975
✔ PECOS✔ Accepts Medicare8.3 mi
Nurse Practitioner
NPI 1154672806
200 HOOSIER DR STE E
Angola, IN 46703
(260) 665-9494
✔ PECOS✔ Accepts Medicare21 mi

Certified Clinical Nurse Specialist (CNS) (1)

Certified Clinical Nurse Specialist (CNS)
NPI 1033369897
1800 WESLEY RD
Auburn, IN 46706
(260) 925-2453
✔ PECOS✔ Accepts Medicare13 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Northeastern Center appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.