Provider Demographics
NPI:1487932257
Name:MAKIN, JOEL ALLEN (LMHC)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:ALLEN
Last Name:MAKIN
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 EAST STATE ROAD 124
Mailing Address - Street 2:
Mailing Address - City:WABASH
Mailing Address - State:IN
Mailing Address - Zip Code:46992-9162
Mailing Address - Country:US
Mailing Address - Phone:260-377-9662
Mailing Address - Fax:
Practice Address - Street 1:521 E. STATE ROAD 124
Practice Address - Street 2:
Practice Address - City:WABASH
Practice Address - State:IN
Practice Address - Zip Code:46992-9162
Practice Address - Country:US
Practice Address - Phone:260-377-9662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-28
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC016608101YM0800X
OHE.2303939101YM0800X
101YM0800X
KY289024101YM0800X
NC21098101YM0800X
MALMHC10001540101YM0800X
IN39002892A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100124250Medicaid