Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edgewater Systems for Balanced Living, Inc

Organization Mental Health Counselor · NPI 1699225698

Edgewater Systems for Balanced Living, Inc is a Mental Health Counselor in Merrillville, Indiana. Works from 3 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2016
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5495 Broadway
Merrillville, IN 46410-1647
Phone: (219) 884-4900
Fax: (219) 980-7585
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1100 W 6th Ave, Gary, IN 46402-1711 — (219) 885-4264
  • 1212 N Broad St, Griffith, IN 46319-1534 — (219) 838-1270

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01033511A (IN)
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1699225698
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEdgewater Systems for Balanced Living, Inc
Authorized official Danita Johnson Hughes — President/Ceo · (219) 885-4264
Other names Edgewater Primary Care; Edgewater Primary Care
NPI enumeratedOctober 13, 2016
Last updated in NPPESNovember 22, 2024
Certification dateNovember 22, 2024
Mailing address1100 W 6th Ave, Gary, IN 46402-1711

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