EDGEWATER BEHAVIORAL HEALTH SERVICES, INC
NPI 1770960536
Clinic/Center - Rehabilitation, Substance Use Disorder in Gary, IN

Active since April 30, 2015
4747 W 24TH AVE, GARY, IN 46406(219) 977-0110(219) 427-1672 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 16, 2018, May 9, 2018 (2 updates tracked since 2018).

About Edgewater Behavioral Health Services, Inc NPPES

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

EDGEWATER BEHAVIORAL HEALTH SERVICES, INC (NPI 1770960536) is a healthcare organization registered as a rehabilitation, substance use disorder in Gary, Indiana and active in the NPI registry since April 2015. The organization lists Danita Johnson-hughes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770960536
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameEDGEWATER SYSTEMS FOR BALANCED LIVING, INC
Location Address4747 W 24TH AVEGary, IN 46406
Mailing Address1100 W 6th AveGary, IN 46402-1711 · (219) 885-4264 · Fax (219) 882-0352
Fax(219) 427-1672
Organization SubpartNo
Authorized OfficialDanita Johnson-hughesCeo · (219) 881-2466
Enumeration DateApril 30, 2015
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1770960536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in IN · 421-009
Also ListedPsychiatric HospitalTaxonomy 283Q00000X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
4747 W 24TH AVE, Gary, IN 46406

Other Names 2

Doing Business AsEdgewater Behavioral Health Services, Inc
Doing Business AsEdgewater Health Rapid Access Center

Other Identifiers 1

Medicaid300013628IN

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)

Edgewater Behavioral Health Services, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

31

Medicare enrollment records show 31 clinicians reassign Medicare billing to Edgewater Behavioral Health Services, Inc, which bills Medicare for the services they deliver. Of these, 19 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner13
Clinical Social Worker3
Family Practice3
Pediatric Medicine3
Psychiatry3
Internal Medicine2
Obstetrics/Gynecology2
Certified Clinical Nurse Specialist (CNS)1
1 other specialty1

Nearest to this location (20)

See all 31
Clinical Social Worker
NPI 1700344223
1100 W 6TH AVE
Gary, IN 46402
(219) 885-4264
✔ PECOS2.9 mi
Psychiatry
NPI 1912970229
1100 W 6TH AVE
Gary, IN 46402
(219) 885-4264
✔ PECOS✔ Accepts Medicare2.9 mi
Nurse Practitioner
NPI 1730997784
1000 W 6TH AVE
Gary, IN 46402
(219) 885-4264
✔ PECOS2.9 mi
Nurse Practitioner
NPI 1124396072
1701 BROADWAY
Gary, IN 46407
(219) 949-7540
✔ PECOS✔ Accepts Medicare3.1 mi
Pediatric Medicine
NPI 1942313366
720 W 5TH AVE GARY
Gary, IN 46402
(219) 882-0262
✔ PECOS3.2 mi
Nurse Practitioner
NPI 1306224597
3229 BROADWAY AVE. SUITE 205
Gary, IN 46409
(219) 531-3500
✔ PECOS✔ Accepts Medicare3.3 mi
Nurse Practitioner
NPI 1598996589
3100 45TH ST
Highland, IN 46322
(219) 922-6099
✔ PECOS✔ Accepts Medicare4.0 mi
Nurse Practitioner
NPI 1013516939
1100 W 6TH AVE
Gary, IN 46402
(219) 885-4264
✔ PECOS✔ Accepts Medicare4.1 mi
Internal Medicine
NPI 1306842786
4802 BROADWAY
Gary, IN 46408
(219) 887-4950
✔ PECOS4.3 mi
Family Practice
NPI 1699782318
4900 BROADWAY
Gary, IN 46408
(219) 237-5170
✔ PECOS✔ Accepts Medicare4.4 mi
Nurse Practitioner
NPI 1255717096
5495 BROADWAY
Merrillville, IN 46410
(219) 884-4900
✔ PECOS✔ Accepts Medicare5.0 mi
Family Practice
NPI 1790871341
5495 BROADWAY
Merrillville, IN 46410
(219) 985-5500
✔ PECOS✔ Accepts Medicare5.0 mi
Internal Medicine
NPI 1528088689
5825 BROADWAY SUITE A
Merrillville, IN 46410
(219) 884-1400
✔ PECOS5.3 mi
Obstetrics/Gynecology
NPI 1942216478
6091 BROADWAY
Merrillville, IN 46410
(219) 763-8113
✔ PECOS5.6 mi
Family Practice
NPI 1134179963
5818 COLUMBIA AVE
Hammond, IN 46320
(219) 237-5160
✔ PECOS5.9 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1881724730
426 S LAKE ST
Gary, IN 46403
(219) 939-6070
✔ PECOS✔ Accepts Medicare6.8 mi
Nurse Practitioner
NPI 1982142527
1515 FOREST AVE
Calumet City, IL 60409
(708) 743-0365
✔ PECOS✔ Accepts Medicare7.1 mi
Psychiatry
NPI 1912016759
2150 GETTLER ST STE 405
Dyer, IN 46311
(219) 440-7088
✔ PECOS✔ Accepts Medicare8.7 mi
Nurse Practitioner
NPI 1336761576
2100 N MAIN ST STE 304
Crown Point, IN 46307
(574) 546-1900
✔ PECOS✔ Accepts Medicare9.1 mi
Clinical Social Worker
NPI 1437499621
174 E 154TH ST STE 200
Harvey, IL 60426
(708) 339-0040
✔ PECOS13 mi
See all 31 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 Edgewater Systems For Balanced Living, Inc's NPI number?

The NPI number for Edgewater Systems For Balanced Living, Inc is 1770960536. It was assigned to this organization in the NPPES registry on April 30, 2015. The provider is doing business as Edgewater Behavioral Health Services, Inc and Edgewater Health Rapid Access Center.

Where is Edgewater Systems For Balanced Living, Inc located?

Edgewater Systems For Balanced Living, Inc is located at 4747 W 24th Ave, Gary, IN 46406. The listed phone number is (219) 977-0110.

What is Edgewater Systems For Balanced Living, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Is Edgewater Systems For Balanced Living, Inc enrolled in Medicare?

Yes. Edgewater Systems For Balanced Living, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Edgewater Systems For Balanced Living, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 9 Medicare specialties reassign their Medicare billing to Edgewater Systems For Balanced Living, 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 Nurse Practitioner (13), Clinical Social Worker (3) and Family Practice (3). Of these, 19 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Edgewater Systems For Balanced Living, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Edgewater Systems For Balanced Living, 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 Edgewater Systems For Balanced Living, Inc was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.