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Grant-Blackford Mental Health, Inc.

Community/Behavioral Health Agency in Marion, IN · enumerated 2005 · authorized official Lisa Dominisse, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407848500

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Registry record

Entity type Organization (Type 2)
Legal business name Grant-Blackford Mental Health, Inc.
Other name <Unavail>
Practice address 505 N Wabash Ave, Marion, IN, 46952
Phone (765) 662-3971
Fax (765) 662-7480
Enumeration date Aug 16, 2005
Last updated in NPPES Sep 8, 2023

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Primary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities · License 414 (IN) Secondary

Authorized official

Name Lisa Dominisse
Title Ceo
Phone (765) 668-6713

Other identifiers

Identifier Type State Issuer
100123170A Medicaid IN -

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.

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Frequently asked questions

Where is Grant-Blackford Mental Health, Inc. located?
The practice location on file with NPPES is in Marion, IN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-09-08. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-09-08.