Medicaid Waiver Provider List

Available for Music Therapy funded by Family Supports Waiver

County: Marion

FERRARO BEHAVIOR SERVICES, LLC

9512 Lima Road Ste 103
Fort Wayne, IN 46818-
Primary Contact-Person:James Ferraro
Primary Phone-Number: (260) 414-4713 Fax-Number:(260) 489-2226

CHILD-ADULT RESOURCE SERVICES, INC

P.O. BOX 170
Rockville, IN 47872-
Primary Contact-Person:Holly Konarski
Primary Phone-Number: (765) 569-2076 Fax-Number:(765) 569-3444

Pure Abilities LLC

6353 Constitution Drive
Fort Wayne, IN 46804-
Primary Contact-Person:Ethan Pickett
Primary Phone-Number: (260) 436-7873

APEX BEHAVIORAL SERVICES, L.L.P.

977 South Kenmore
Evansville, IN 47714-
Primary Contact-Person:Amanda Alstatt
Primary Phone-Number: (812) 909-1620 Fax-Number:(812) 909-3983

MAINSTAY MUSIC THERAPY, INC.

10812 Coldwater Rd Ste. 400
FORT WAYNE, IN 46845-
Primary Contact-Person:Allison Thomas
Primary Phone-Number: (260) 494-1624 Extension 500

ELLISON BEHAVIOR CONSULTING

9688 Semaphore court
Unknown Zip-Code 45069-
Primary Contact-Person:AMY MEYER
Primary Phone-Number: (812) 655-3993 Fax-Number:(513) 922-0096

Plainsong Music Service, LLC

1106 Meridian Street Suite 325
Anderson, IN 46016-
Primary Contact-Person:Kirby Gilliam MT-BC
Primary Phone-Number: (765) 278-2030

INSIGHTS CONSULTING, INC

7830 Johnson Road
Indianapolis, IN 46250-
Primary Contact-Person:Kelly Hartman
Primary Phone-Number: (317) 396-0683 Extension 110 Fax-Number:(317) 396-0687

I hereby certify that I have examined this list of available Service Providers, and have indicated my selection
by placing my initials/mark next to the provider that I wish to perform the service indicated at the top of the page.

Signed: Dated:

Printed Name of Signer:

Client Name (printed):
(if different from the SIgned-By person) 11/07/2019 Page:1
 Medicaid Waiver Provider List
Available for Music Therapy funded by Family Supports Waiver
County: Marion

BRIDGES OF INDIANA, INC.

2415 Directors Row, Suite N
Indianapolis, IN 46241-
Primary Contact-Person:Lisa Hutchinson
Primary Phone-Number: (317) 334-0400 Fax-Number:(317) 334-0405

ABILITIES SERVICES, INC.

1237 Concord Road
Crawfordsville, IN 47933-
Primary Contact-Person:Michelle Leonard-Smith
Primary Phone-Number: (765) 362-4020 Fax-Number:(765) 364-1100

NORTH NODE WELLNESS, INC.

5310 Merchandise Drive
FT WAYNE, IN 46814-
Primary Contact-Person:Janelle Bailey, Administrator
Primary Phone-Number: (260) 515-9481

AMY M. SANDLIN
6617 Southern Ridge Drive
Indianapolis, IN 46237-2977
Primary Contact-Person:Amy M. Sandlin
Primary Phone-Number: (317) 605-1122

POSITIVE PATHWAYS
(Official business-name:POSITIVE PATHWAYS COUNSELING AND CONSULTING, LLC)
654 Overcup St.
Westfield, IN 46074-
Primary Contact-Person:Stephanie Shank
Primary Phone-Number: (317) 440-4176 Fax-Number:(775) 288-3479

SYCAMORE SERVICES
(Official business-name:SYCAMORE REHABILITATION SERVICES/HENDRICKS COUNTY ARC, INC.)
1001 Sycamore Lane
Danville, IN 46122-
Primary Contact-Person:Misty Porter
Primary Phone-Number: (317) 745-4715 Fax-Number:(317) 745-8271

NEW HOPE OF INDIANA, INC.

8450 North Payne Road, Suite 300
Indianapolis, IN 46268-1999
Primary Contact-Person:Amy Flint
Primary Phone-Number: (317) 338-4535 Fax-Number:(317) 338-4585

MEANINGFUL DAY SERVICES, INC

225 S. School St.
Brownsburg, IN 46112-1360
Primary Contact-Person:Sandra Miller
Primary Phone-Number: (317) 858-8630 Fax-Number:(317) 858-8715

I hereby certify that I have examined this list of available Service Providers, and have indicated my selection
by placing my initials/mark next to the provider that I wish to perform the service indicated at the top of the page.

Signed: Dated:

Printed Name of Signer:

Client Name (printed):
(if different from the SIgned-By person) 11/07/2019 Page:2
 Medicaid Waiver Provider List
Available for Music Therapy funded by Family Supports Waiver
County: Marion

LEL HOME SERVICES, LLC

5936 N. Keystone Avenue
Indianapolis, IN 46220-
Primary Contact-Person:Jeanne Eaves
Primary Phone-Number: (317) 749-8839 Fax-Number:(317) 356-6661

OPG, Inc.
(Official business-name:OPPORTUNITIES FOR POSITIVE GROWTH, INC.)
10080 East 121 Street, Suite 112
Unknown Zip-Code 46037-
Primary Contact-Person:Andrea Schwartz, CEO
Primary Phone-Number: (317) 813-1780 Fax-Number:(317) 813-1788

Sweet Behavioral Services

(Official business-name:SWEET BEHAVIOR, LLC)
220 East Court Avenue
Jeffersonville, IN 47130-
Primary Contact-Person:Tony Sweet
Primary Phone-Number: (812) 725-1665 Fax-Number:(812) 284-3777

ACCESSABILITIES, INC.
5351 E. Thompson Road, #243
Indianapolis, IN 46237-
Primary Contact-Person:Sarah Myles
Primary Phone-Number: (877) 755-4049 Fax-Number:(317) 884-6699

FORTE RESIDENTIAL, INC.

120 S. Lake Street, Suite 100
Warsaw, IN 46580-
Primary Contact-Person:Ellie Moeller, President
Primary Phone-Number: (574) 549-9961 Fax-Number:(866) 757-6066

DYNAMIC MUSIC THERAPY, LLC

7502 Madison Avenue
Indianapolis, IN 46227-
Primary Contact-Person:JENNIFER WHITLOW
Primary Phone-Number: (317) 442-8655

NOBLE OF INDIANA
7701 East 21st Street
Indianapolis, IN 46219-2406
Primary Contact-Person:Lisa Krieg
Primary Phone-Number: (317) 375-2700 Fax-Number:(317) 375-2719

Embracing Abilities Inc

6748 E US HWY 36 Suite C
AVON, IN 46123-
Primary Contact-Person:Traci Gibson
Primary Phone-Number: (317) 825-8326 Fax-Number:(317) 203-0744

I hereby certify that I have examined this list of available Service Providers, and have indicated my selection
by placing my initials/mark next to the provider that I wish to perform the service indicated at the top of the page.

Signed: Dated:

Printed Name of Signer:

Client Name (printed):
(if different from the SIgned-By person) 11/07/2019 Page:3
 Medicaid Waiver Provider List
Available for Music Therapy funded by Family Supports Waiver
County: Marion

RT Solutions, Inc
3321 N. POINTE AVE.
Terre Haute, IN 47805-
Primary Contact-Person:Heather J. Sedletzeck
Primary Phone-Number: (812) 231-1765 Fax-Number:(812) 231-1765

I hereby certify that I have examined this list of available Service Providers, and have indicated my selection
by placing my initials/mark next to the provider that I wish to perform the service indicated at the top of the page.

Signed: Dated:

Printed Name of Signer:

Client Name (printed):
(if different from the SIgned-By person) 11/07/2019 Page:4