Grant-Blackford Mental Health, Inc.
NPI 1407848500 · Community/Behavioral Health Agency · Marion, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grant-Blackford Mental Health, Inc. is a Community/Behavioral Health Agency organization in Marion, IN (NPI 1407848500).
Provider details
- NPI number
- 1407848500
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lisa Dominisse, Ceo(765) 668-6713
- License
- 414 (IN)
Specialties & taxonomies
Agencies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Radiant Health Services
Registry dates
- Enumerated
- 2005-08-16
- Last updated
- 2023-09-08
- Certified
- 2023-09-08
Frequently asked questions
- What is Grant-Blackford Mental Health, Inc.'s NPI number?
- Grant-Blackford Mental Health, Inc.'s National Provider Identifier (NPI) is 1407848500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grant-Blackford Mental Health, Inc.?
- Grant-Blackford Mental Health, Inc. is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Grant-Blackford Mental Health, Inc. located?
- Grant-Blackford Mental Health, Inc.'s practice location on file with NPPES is 505 N Wabash Ave, Marion, IN 46952-2608.
- What is Grant-Blackford Mental Health, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Grant-Blackford Mental Health, Inc. is (765) 662-3971.
- Does Grant-Blackford Mental Health, Inc. accept Medicare?
- Grant-Blackford Mental Health, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Grant-Blackford Mental Health, Inc.?
- The authorized official listed on Grant-Blackford Mental Health, Inc.'s NPPES record is Lisa Dominisse, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grant-Blackford Mental Health, Inc.'s NPI active?
- Yes — Grant-Blackford Mental Health, Inc.'s NPI (1407848500) is active in the NPPES registry as of the last update on 2023-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.