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Audrey Gaines

Counselor, Professional in Merrillville, IN. Individual provider (NPI-1).

NPI number1306217005
StatusActive
Last updated in NPPESOct 7, 2015

Details

NPI
1306217005
Entity type
Individual (NPI-1)
Name
Audrey Gaines
Sex
Female
Sole proprietor
No
Enumeration date
Oct 7, 2015
Last updated
Oct 7, 2015

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes

Practice location

6049 Broadway
Merrillville, IN 46410-2619

Phone 219-756-1503

Mailing address

6049 Broadway
Merrillville, IN 46410-2619

Phone 219-756-1503

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Professional Counselor providers in Merrillville, IN

All 9 Professional Counselor providers in Merrillville · All 2,737 providers in Merrillville

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