Herr, Jason

Herr, Jason is an individual health care provider with primary practice located at 1409 E 84Th Pl , Merrillville IN 46410-6451. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Herr, Jason can be contacted via phone (219) 794-2000.

Contact Information

Primary practice address
1409 E 84Th Pl Merrillville IN 46410-6451
Phone: (219) 794-2000
Fax: (219) 794-2010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39002060A Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20042635A Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071008452 Illinois

Profile Details

NPI number 1013165075
LBN Legal business name Herr, Jason
Credentials LMHC, CP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2008
Last updated Nov 28th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013165075 NPPES
Indiana Other 000000616380 ANTHEM

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