Collaborative Change Llc - Medicare Mental Health Clinic in Brownsburg, IN

Collaborative Change Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Brownsburg, Indiana. The current practice location for Collaborative Change Llc is 1060 E Main St # S401, Brownsburg, Indiana. For appointments, you can reach them via phone at (317) 296-4187. The mailing address for Collaborative Change Llc is 8331 Crawfordsville Rd, Indianapolis, Indiana and phone number is (317) 296-4187.

Collaborative Change Llc is licensed to practice in Indiana (license number 34005850A). The clinic also participates in the medicare program and its NPI number is 1770916587. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (317) 296-4187.

Contact Information

Collaborative Change Llc
1060 E Main St # S401
Brownsburg
IN 46112-1408
(317) 296-4187
(317) 203-0995

Mental Health Clinic Profile

Full NameCollaborative Change Llc
SpecialitySocial Worker
Location1060 E Main St # S401, Brownsburg, Indiana
Authorized Official Name and PositionBabe Black (OWNER)
Authorized Official Contact3172259483
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Collaborative Change Llc
8331 Crawfordsville Rd
Indianapolis
IN 46234-7740

Ph: (317) 296-4187
Collaborative Change Llc
1060 E Main St # S401
Brownsburg
IN 46112-1408

Ph: (317) 296-4187

NPI Details:

NPI Number1770916587
Provider Enumeration Date08/15/2013
Last Update Date05/04/2022
Certification Date05/04/2022

Medicare PECOS Information:

Medicare PECOS PAC ID5193045987
Medicare Enrollment IDO20150519000673

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Medical Identifiers

Medical identifiers for Collaborative Change Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770916587NPI-NPPES
20119194AMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 34005850A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Collaborative Change Llc acts as a billing entity for following providers:
Provider NameBabe A Black
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114145513
PECOS PAC ID: 7315267101
Enrollment ID: I20150521001859

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