HICKORY GROVE BEHAVIORAL SERVICES, LLC
NPI 1962218305
Counselor - Mental Health in La Porte, IN
About Hickory Grove Behavioral Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HICKORY GROVE BEHAVIORAL SERVICES, LLC (NPI 1962218305), doing business as Hickory Grove Behavioral Services, is a healthcare organization registered as a mental health in La Porte, Indiana and active in the NPI registry since December 2024. The organization maintains 2 additional practice locations and lists Robert Dale Owens, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hickory Grove Behavioral Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Hickory Grove Behavioral Services, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Hickory Grove Behavioral Services, LLC's NPI number?
The NPI number for Hickory Grove Behavioral Services, LLC is 1962218305. It was assigned to this organization in the NPPES registry on December 10, 2024. The provider is doing business as Hickory Grove Behavioral Services.
Where is Hickory Grove Behavioral Services, LLC located?
Hickory Grove Behavioral Services, LLC is located at 300 Wile St Ste 2, La Porte, IN 46350. The listed phone number is (574) 265-4428.
What is Hickory Grove Behavioral Services, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Hickory Grove Behavioral Services, LLC enrolled in Medicare?
Yes. Hickory Grove Behavioral Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hickory Grove Behavioral Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Hickory Grove Behavioral Services, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Hickory Grove Behavioral Services, LLC was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Hickory Grove Behavioral Services, Llc · NPI 1962218305
Mental Health organization in La Porte, Indiana. Organization record, active in the CMS NPPES registry since December 10, 2024.
## Identity
- **NPI:** 1962218305 (Entity type: Organization)
- **Enumerated:** December 10, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Also known as:** Hickory Grove Behavioral Services (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Robert Owens, OWNER
## Practice location
- **Address:** 300 WILE ST STE 2, La Porte, IN 46350-5672
- **Phone:** (574) 265-4428
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 11, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1962218305) · Data from the CMS NPPES public registry.