Northeastern Center
Northeastern Center is a healthcare organization registered as Community/Behavioral Health Agency in Kendallville, IN, holding Type 2 (organization) NPI 1174685358 since 2006. The authorized official on file is Jerry Hollister, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174685358 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Northeastern Center |
| Practice address | 220 S MAIN ST, Kendallville, IN, 46755 |
| Phone | 2603472453 |
| Fax | 2603472456 |
| Enumeration date | 2006-12-14 |
| Last updated in NPPES | 2008-06-16 |
Authorized official
| Name | Jerry Hollister |
|---|---|
| Title | Ceo |
| Phone | 2603472453 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health Agency | Primary | 426-0-CMHC | IN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100190820B | Medicaid | IN | — |
Copy-ready billing details
Provider: Northeastern Center NPI: 1174685358 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 220 S MAIN ST, Kendallville, IN, 46755
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1023125705 | Northeastern Center, Inc | Organization | Case Management Agency | Kendallville, IN |
| 1306954748 | Joseph Csincsak | Individual | Clinical Social Worker | Kendallville, IN |
| 1720140908 | Northeastern Center Inc | Organization | Community/Behavioral Health Agency | Kendallville, IN |
| 1770646226 | Northeastern Center | Organization | Community/Behavioral Health Agency | Kendallville, IN |
| 1679636294 | Northeastern Center | Organization | Community/Behavioral Health Agency | Kendallville, IN |
| 1740326669 | Northeastern Center | Organization | Non-emergency Medical Transport (VAN) | Kendallville, IN |
| 1962673111 | Dianne Daugherty | Individual | Clinical Social Worker | Kendallville, IN |
| 1851609804 | Richard Yost | Individual | Addiction (Substance Use Disorder) Counselor | Kendallville, IN |
Verify this record
Cross-check NPI 1174685358 against the authoritative CMS record: view Northeastern Center on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Northeastern Center?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-06-16.