Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MAPLE CITY COUNSELING CENTER
Active
Organization
MAPLE CITY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH DD JODWAY LMHC, LCAC (OWNER)
(574) 220-0220
Entity
Organization
Contact information
Practice address
209 TANGLEWOOD DR APT C, GOSHEN, IN 46526-1718
(574) 220-0220
(574) 975-7788
Mailing address
209 TANGLEWOOD DR APT C, GOSHEN, IN 46526-1718
(574) 220-0220
(574) 975-7788
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39001485A
LICENSED MENTAL HEALTH COUNSELOR
IN
01
—
87000367A
LICENSED CLINICAL ADDICTION COUNSELOR
IN
Enumeration date
05/13/2019
Last updated
05/13/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up