LIA R KETTENIS M.D.
NPI 1346459146
Psychiatry & Neurology - Child & Adolescent Psychiatry in Bloomington, IN
NPI Status: Active since May 21, 2007
Contact Information
645 S ROGERS ST
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 269-5092
- Individual
- Female
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
- Accepts Insurance
- PECOS Enrolled
About LIA KETTENIS
This page provides the complete NPI Profile along with additional information for Lia Kettenis, a provider established in Bloomington, Indiana with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1346459146 assigned on May 2007. The practitioner's primary taxonomy code is 2084P0804X with license number 01063824A (IN). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1346459146
- Provider Name
- LIA R KETTENIS M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 645 S ROGERS ST BLOOMINGTON, IN 47403
- Location Phone
- (812) 269-5092
- Mailing Address
- 645 S ROGERS ST BLOOMINGTON, IN 47403
- Mailing Phone
- (812) 269-5092
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-21-2007
- Last Update Date
- 03-05-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 01063824A
- License State
- IN
- Taxonomy Description
- Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 01063824A (IN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Connect Bronze 3800 Indiv Med Deductible - EPO
- Connect Bronze 7000 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 8550 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3000 Indiv Med Deductible - EPO
- Connect Silver 7000 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200871370A | MEDICAID (05) | IN |
Medicare Participation & PECOS Enrollment Status
Lia Kettenis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 30-39 minutes
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 70 times for 35 patientsReviews for LIA R KETTENIS M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 4 | 6 | 4 | 5 | 9 | 1 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 8 | 5 | 18 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 8 + 5 + 1 + 8 + 1 + 8 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1346459146 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1598749780 | DANIEL ERIC MCNEELY LCSW Individual | Social Worker (Clinical) | 645 S ROGERS ST BLOOMINGTON, IN 47403 (812) 339-1691 |
| 1194709295 | DR. WILLIAM ALLEN GILKEY PHD HSPP Individual | Psychologist | 645 S ROGERS ST BLOOMINGTON, IN 47403 (812) 339-1691 |
| 1952386500 | DEBRA SUZANNE MITCHELL LCSW Individual | Social Worker (Clinical) | 645 S ROGERS ST BLOOMINGTON, IN 47403 (812) 339-1691 |
| 1568447100 | GREGORY SCOTT CLARK LCSW Individual | Social Worker (Clinical) | 645 S ROGERS ST BLOOMINGTON, IN 47403 (812) 339-1691 |
| 1912983412 | CYNTHIA ALLISON HOUSTON MED CAGS LCSW LMFT Individual | Social Worker (Clinical) | 645 S ROGERS ST BLOOMINGTON, IN 47403 (812) 339-1691 |
| 1346210796 | DEBORAH COHEN LCSW Individual | Counselor (Mental Health) | 645 S ROGERS ST BLOOMINGTON, IN 47403 (812) 339-1691 |
| 1689647752 | BRENDA KAY OLDSTROM LMHC Individual | Counselor (Mental Health) | 645 S ROGERS ST BLOOMINGTON, IN 47403 (812) 339-1691 |
| 1851369136 | VANTAGE POINT, INC. Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 645 S ROGERS ST BLOOMINGTON, IN 47403 (812) 355-5890 |
| 1083676522 | FRANK STEVENS PHD, HSPP Individual | Psychologist | 645 S ROGERS ST BLOOMINGTON, IN 47403 (812) 339-1691 |
| 1821194895 | EMMA FORD MSW Individual | Counselor (Mental Health) | 645 S ROGERS ST BLOOMINGTON, IN 47403 (812) 339-1691 |
| 1629152681 | ANDREW BECKER MSW Individual | Counselor (Mental Health) | 645 S ROGERS ST BLOOMINGTON, IN 47403 (812) 339-1691 |
| 1033289723 | JENNIFER CLAYPOOLE Individual | Social Worker (Clinical) | 645 S ROGERS ST BLOOMINGTON, IN 47403 (812) 339-1691 |
| 1982764080 | MELODY ROSE Individual | Counselor | 645 S ROGERS ST BLOOMINGTON, IN 47403 (812) 339-1691 |
| 1366502478 | STEPHEN ARTHUR Individual | Licensed Practical Nurse | 645 S ROGERS ST BLOOMINGTON, IN 47403 (812) 339-1691 |
| 1275693350 | STEPHANIE CRANE Individual | Licensed Practical Nurse | 645 S ROGERS ST BLOOMINGTON, IN 47403 (812) 339-1691 |
| 1225198336 | DENA HOLLOMAN Individual | Licensed Practical Nurse | 645 S ROGERS ST BLOOMINGTON, IN 47403 (812) 339-1691 |
| 1548320708 | JOHN MICHAEL GRAVES LPN Individual | Licensed Practical Nurse | 645 S ROGERS ST BLOOMINGTON, IN 47403 (812) 339-1691 |
| 1023178290 | DEBRA HOESMAN Individual | Counselor | 645 S ROGERS ST BLOOMINGTON, IN 47403 (812) 339-1691 |
| 1316007461 | HEIDI BEDNARSKI Individual | Registered Nurse | 645 S ROGERS ST BLOOMINGTON, IN 47403 (812) 339-1691 |
| 1811058944 | LESLIE DAWLEY - COUCH LPN Individual | Licensed Practical Nurse | 645 S ROGERS ST BLOOMINGTON, IN 47403 (812) 339-1691 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346459146, enumerated in the NPI registry as an "individual" on May 21, 2007
The provider is located at 645 S Rogers St Bloomington, In 47403 and the phone number is (812) 269-5092
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0804X with a focus in Child & Adolescent Psychiatry
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Meridian, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 30-39 minutes.
This NPI record was last updated on May 21, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.