Individual ProviderRodney EnsleyCounselorBehavioral Health & Social Service ProvidersPractice Address601 Wall St, Valparaiso, IN 46383-2512(219) 531-3500(219) 381-9401PECOS EnrollmentBased on the most recent information from CMS, provider Rodney Ensley is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:05 AM.Profile DetailsProvider ID1659629210Provider TypeIndividualFull NameEnsley, RodneyCredentialLMHCGenderMaleSole ProprietorNoEnumeration Date8/29/2012Last Updated11/7/2023Contact InformationPractice LocationPractice Address601 Wall St, Valparaiso, IN 46383-2512Phone(219) 531-3500FaxUnlisted FaxMailing LocationMailing Address9412 Cottonwood Dr, Munster, IN 46321-3604Phone(219) 381-9401FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense39003125AIndianaCode103K00000XDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer