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SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC.
NPI 1972092047
Clinic/Center - Rehabilitation, Substance Use Disorder in East Chicago, IN

Active since May 04, 2018
3903 INDIANAPOLIS BLVD, EAST CHICAGO, IN 46312(219) 398-7050(219) 392-3998 Get Directions Write a Review

NPPES record last updated: June 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2018, May 4, 2018 (2 updates tracked since 2018).

About Southlake Community Mental Health Center Inc. NPPES

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

SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC. (NPI 1972092047) is a healthcare organization registered as a rehabilitation, substance use disorder in East Chicago, Indiana and active in the NPI registry since May 2018. The organization lists Shirley A Roll, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1972092047
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameSOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC.
Location Address3903 INDIANAPOLIS BLVDEast Chicago, IN 46312
Mailing Address8400 Louisiana StMerrillville, IN 46410-6385 · (219) 757-1924 · Fax (219) 757-1950
Phone(219) 398-7050
Fax(219) 392-3998
Organization SubpartNo
Authorized OfficialShirley A RollEnrollment · (317) 472-7396
Enumeration DateMay 4, 2018
Last NPPES UpdateJune 12, 20182 updates tracked since enumeration
✔ NPI 1972092047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in IN · 424-014
3903 INDIANAPOLIS BLVD, East Chicago, IN 46312
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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 ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CYNTHIA R BEJSTER LCSW
Social Worker (Clinical)
3903 INDIANAPOLIS BLVD
EAST CHICAGO, IN 46312
Lake County (219) 392-6065
DENISE POLEN LMHC
Counselor (Mental Health)
3903 INDIANAPOLIS BLVD
EAST CHICAGO, IN 46312
Lake County (219) 398-7050
JOANNE TISCHINA PSYD.
Psychologist (Clinical Child & Adolescent)
3903 INDIANAPOLIS BLVD
EAST CHICAGO, IN 46312
Lake County (219) 398-7050
HILDA EMELOGU
Counselor
3903 INDIANAPOLIS BLVD
EAST CHICAGO, IN 46312
Lake County (219) 392-6001
LISA MARIA MYLES
Counselor
3903 INDIANAPOLIS BLVD
EAST CHICAGO, IN 46312
Lake County (219) 398-7050
MICHELLE HARDLANNERT LMHC
Counselor (Mental Health)
3903 INDIANAPOLIS BLVD
EAST CHICAGO, IN 46312
Lake County (219) 392-6001
RAIKO WATSON
Counselor
3903 INDIANAPOLIS BLVD
EAST CHICAGO, IN 46312
Lake County (219) 392-6001
MICHAEL CHRISTOPHER MCLAIN BA
Counselor
3903 INDIANAPOLIS BLVD
EAST CHICAGO, IN 46312
Lake County (219) 398-7050

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 Southlake Community Mental Health Center Inc.'s NPI number?

The NPI number for Southlake Community Mental Health Center Inc. is 1972092047. It was assigned to this organization in the NPPES registry on May 4, 2018.

Where is Southlake Community Mental Health Center Inc. located?

Southlake Community Mental Health Center Inc. is located at 3903 Indianapolis Blvd, East Chicago, IN 46312. The listed phone number is (219) 398-7050.

What is Southlake Community Mental Health Center Inc.'s specialty?

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

What insurance does Southlake Community Mental Health 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 Southlake Community Mental Health 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 Southlake Community Mental Health Center Inc. was last updated on June 12, 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.