DMHA Incident Report Quiz Your Information Question Title * 1. Agency Name 180 Degrees Mentoring Group, LLC Aaron Barnett - 300012681A Adult & Child - 100367690A Adult & Child - 100367690B Ahmad Kersey - 201050950A Alan Archibald - 201265220A Alicia Stout - 300014997A Alyssia Hawthorne - 300007079A Amy Carman - 300011515A Amy Yonan Angelique West - 201261000A Ardella Aikens - 183168119A Aspire Indiana, Inc. - 100073590A Aspiring Change Family Services, LLC Axis Family Services, LLC - 300014254A Benjamin Elliott - 201317580A Benjamin Browne - 201255390A Beverly Averitte - 201262220A Brandon Cleaves - 201246660A Bryce Dorsey Cammy Betts - 201263370A Catherine Anne Cox - 201185990A Centerstone - 100182650A Charles Anthony Kirk - 201263260A Choices, Inc. - 201279620A Christian A. Blakey - 201246030A Christopher L. Stamm - 201267730A Clarence Martin, Jr. - 201262380A Coach Dreammakers L.L.C. - 201052060A Collaborative Change - 201193830A Colleen Spano - 300006162A Community Health Network, Inc. - 100270530A Community Howard Regional Health, Inc. - 201111550E Community Mental Health Center, Inc. - 200878900A Community Mental Health Center, Inc. - 200878900D Connections, Inc. - 200892300A Cory Freihaut - 201031010A Crossroad Child & Family Services, Inc. - 200933340A Cummins Behavioral Health Systems, Inc. - 100133060B Cummins Behavioral Health Systems, Inc. - 100133060E Damon Turner - 201343290A Darnell Scott - 300009703A David L. Barney, Jr. - 201305820A DeAnn B. Day - 201361250A DeAnna Warren - 201267120A Debra L. Mullins - 201317350A Delfield Anderson - 201333540A DeLora Shrewsburg Denicka Foster - 300011199A Doshia Fifer - 300001682A E.L.L.A., Inc. - 200984720A Edgewater Systems for Balanced Living, Inc. - 100273230A Edna Faye Holmes - 201251180A Edward Nunn - 300011308A Elevated Minds - 200984530A Eric D. Hathcock - 201247940A Erin Clampitt Ernest L. Johnson, III - 201333220A Eskenazi Health, Midtown Community - 100268860B Evan Long - 300003862A Evelyn Alexander-Davis - 201260070A Favorable Behavior Support Services - 201253610A Finding Me Academy Global, Inc. First Achieve the Challenge for Excellence, LLC - 201248740A Four County Comprehensive Mental Health Center, Inc. - 100464740A Grant Blackford Mental Health, Inc. Hamilton Center, Inc. - 100273730A Hands On Services of Indiana, Inc. Health and Hospital Corporation of Marion County Indiana Howard Health, LLC Hugh Hunter - 201395340A Ike Boyd, Jr. - 201275660A Jackie Thomas, Jr. - 201343790A Jamie Thomas - 201244870A Jason Miller - 201293200A Javaris L. Suggs - 201262320A Jenifer Mudd Chamberlain - 201291320A Jenniffer Friskney - 300011177A Jeromey S. Schabel - 201261420A John A. Gothard - 201238750A John-Paul Henry - 201263290A Jonathan Phillips - 201350520A JoRita Rwizi - 201386400A Justin Volk - 300000159A Katherine M. Green - 201267930A Kelley A. Mires - 201265490A Kelly J. Gilkerson - 201261730A Kerry Cowden - 300002141A Knox County Hospital - 200898460A Korinne Fox - 300012431A Kyle D. Sell - 201260600A Lanetia J. Wooldridge - 201258660A LaPorte County Comprehensive Mental Health Council, Inc. - 200977000A Larry Brunson - 201238850A Laurence Grant - 201388820A Leah Bolden Lentina Rogers - 201259030A LifeSolutions Administrative Services, LLC - 200936860A LifeSpring, Inc. - 200881810A Linda D. Smeltzer-Wilcher - 201332290A Lindsay Brock - 201306000A Lisa M. Robey - 201261450A LunSondra Woods - 201258630A Mary J. Bullock - 201260280A Melissa Nicole Lane - 201241250A Meridian Health Services - 100273590A Michael Ray - 201272480A Michael Sutton - 201244770A Milan Stubblefield - 300008534A Misty D. Flinn Murphy Mentoring Group, Inc. - 210259120A Nichelle Y. Miles - 201249420A Northeastern Center, Inc. - 100190820A Nwamaka Theresa Onochie - 300003883A Oaklawn Psychiatric Center, Inc. - 200898020A One Sensible Solution - 201168420A Otis R. Bowen Center for Human Services - 100156770A Paisley Benberry Park Center, Inc. - 100463190A Patrick McNeill - 201307020A Porter Starke Services, Inc. - 100207670A Purposeful Parenting, LLC - 300015404A Rachel D. Taylor Ride With Faith, Inc. - 201265690A Robert C. Monroe - 020098180A Rodney Eugene Crockett - 201311090A Sandy G. Sanders - 201255350A Scott Broadnax - 201261790A Senica Gold Miller - 201262300A Shaniece Hall Shaping & Empowering Families, LLC - 200993760A Shaunna M. Stamm - 201269010A Shepard Behavioral Services, LLC - 201312600A Sherre Moss Sherry Smith - 201244720A Sky Point Social Services, LLC Skye Berger Group, LLC - 201297550A Southern Hills Counseling - 100108710A Southlake Community Mental Health Center, Inc. - 100157670A Southwestern Behavioral Healthcare, Inc. - 100240880A Tangela Edwards Tausha Mockabee Terry Armstrong - 200897570A The Villages of Indiana, Inc. - 100184680A The Villages of Indiana, Inc. - 100184680D The Villages of Indiana, Inc. - 100184680E Tiana Jessup - 300012265A Tiffany S. Robinson - 210251990A Tonie Y. Hathcock - 201260530A Traci L. Williams - 201259920A Traci Y. Alexander - 201257230A Vantage Point Children & Family Services, LLC - 201389930A Vera Taylor - 201384780A Vincent Jackson - 201246580A Wabash Valley Alliance - 100230810A Wayne P. Major - 201265660A Whitington Homes & Services for Children and Families - 201230920A Other (please specify) OK Question Title * 2. Your Name? Aaron Barnett Adam Fultz Adriana Luca Adrienne Long Adrienne Mathews Ahmad Kersey Alan Archibald Alan Shupe Alejandra Camacho Soria Alexine Smith Alicia Stout Alyssa Pearson Alyssia Hawthorne Amanda Collins Amanda Gerth Amanda Hecht Amanda Lebeau Amber Parrett Amber R. Fleming, HSPP Amy Adams Amy Atkinson Amy Berg Amy Carman Amy Duncan Amy Glover Amy Shaw Amy Yonan Anand Popli, MD Andrea Anderson Andrea Nobbe Andreanna Terry Andrew Davidson Andrew Geesy Andrew Long Angela Butler Angela Winters Angelique West Anita Cobb Ann Galloway, PhD, HSPP Ann Heiligstedt Anne Soultz April Jones April Morrow Ardella Aikens Armen Sarkissian, EdD HSPP Aronzo Holland Asad Ismail, M.D. Ashley Eads Ashley Johnson Ashley Miltroka Ashton O'Keefe Azonda Andrews Babe Longanecker Barbara Heimbach Benjamin Browne Benjamin Elliott Beth Gould Beverly E. Averitte Bill Smith Tolbert Bobbi Short Bobbie White Brandon Cleaves Bree Murua-Cuney Brettany Ervin Brian (Chuck) Bolinger Brian Burns Brian Harvey Brian W. Grant Bryan Shepard Bryce Dorsey Cameron Hunt Cammy Betts Candis Luchnenko Carl Rhinehart Carmon Long Carol Balsbaugh Carol Dellinger Cassandra Mason Catherine Comstock Catherine Cox Charity Behrman Charles A. Kirk Charles Surrett Charmagne LaFortune Chezney French Christian Blakey Christie Coleman-Wilson Christina Brown Christina Martin Christine Deguido Christine O'Hara Christopher L. Stamm Christopher McMullen Christopher W. King Cinnamon Miller-Duncil Clarence Martin, Jr. Clay Butler Colleen Spano Colten DeFluiter Cortney Welch Cory Freihaut Courtney Caplinger Crystal Selleck Cynthia Rotman DaKenya McDuffy Damon Hicks Damon Turner Daniel Kinsey, MD Danielle McClain Darby R. Casady Darnell Scott Darris White David Barney David Goetz David Hollomon Davida Colquitt Dawn Stroud Dean McCaleb DeAnn Day DeAnna Warren Deborah L. Mercer Debra Cave Debra Mullins Dedrick Murphy DeKita Pollard Del Anderson DeLora Shrewsburg Denicka Foster Deon Collins Derren Walters Derrick Perry Diana Boedeker Diana Jones Diana Newnum Dominique Stuart Donette Sandlin Donna Reed Doris Ryan, PhD HSPP Doshia Fifer Dr. Lynnea Carder Dr. Richard Ruhrold Dr. Theresa Greiner Dwayne Moment Dwight Weaver Eden Daugherty Edna Holmes Edward Nunn Elaine Trepanier Elizabeth Condra Elizabeth Felsman Emily Edwards Emily Farrell Epifano Sandoval, M.D. Eric Hathcock Erica Richart Erika Cornett, MD Erika Edwards Erin Clampitt Erin Hall Erin Townsend Ernest Johnson, III Evan Long Evelisse Calo-Ramos Evelyn Alexander-Davis F. Andre Ewing Faith Kingery Felecia Barron Fletcher Upshaw Frank Covington, M.D. Gabriel Kirk Gail Baker Gail Kibiger, Psy D, HSPP Grant Rush Gregg Stump Gregory Gorden Haley Hamm Hasan Bakhtier, MD Heather Dowell Heather Johnson Heather Kerby Heather Meissnest Heather Smith Hope Richardson Hugh Hunter Ike Boyd, Jr. Ina Carlson, PhD, HSPP Irene Richmond Jackie Daugherty Jackie Thomas, Jr. Jackie Van Natta James Cates, HSPP James Noll, PhD, HSPP Jamie Pociask Jamie Thomas Janelle Hunley Janessa Maymon Janet Brummett Jarmain Stills Jasmin Oliver Jason Miller Javaris Suggs Jaymie Conkle Jeanne McGee Jenifer Mudd-Chamberlain Jennifer Canfield Jennifer Gomez Jennifer Howard Jennifer Julian Jennifer Miller Jennifer Newman Jennifer Pisula Jennifer Sunderhaus Jenniffer Friskney Jenny Cuellar Jeramie Davis Jeremy Gibson Jeromey Schabel Jerry Franks Jessica Hamlyn Jessica Strong Jill Flemming Jill Heichelbech Jillian Calloway Jinger Atteberry, HSPP Joanna VanCuren Jody Horstman Jody Mason Joel Griffith, MD John Francis Schiltz, MD John Gothard John-Paul Henry Jon Moseby Jonathan Phillips Jordan Extine Jordan Kipfer JoRita Rwizi Josh Price Judy Stoner Julie Head Julie Kavanaugh Justin Volk Karen Jones Karen Moore Karen Sheets Kate Imber Katherine Donnelly Katherine Green Kathleen Paul Keelie Howard Kelley Mires Kelli Larrabee Kellie Bauman Kelly Brown Kelly Gilkerson Kelly Lewis Kelly Spangler Kenisha Donald Kerrie Griffis Kerry Cowden Keta Cross Kevin Dugan, HSPP Kevin Jones Khulekani Mangozhe Kiersten Vincent Kimberly Owen Kimberly S. Davis Kivya Lomax Knjaado (Jay) Powell Knuth Uddins, M.D. Korinne Fox Kristy Opel Kyle Alcock Kyle Bauer Kyle Fisher Kyle Sell LaEtta Long LaFawn Kirkland Lakisha Wren Lanetia J. Wooldridge Larissa Hoyt Larry Brunson Latisha Jackson Laura Beckley Laurence Grant Leah Bolden Lentina Rogers Letecia Timmel Letitia Haywood Lina Bowman Linda D. Smeltzer-Wilcher Lindsay Beougher Lindsay Brock Lisa Bishop Lisa Bushhorn Lisa Kress Lisa M. Robey Lori Frazer Lori McIntire LunSondra Woods Lydia Hardin Lynda McClory Maggie Mattingly Mailina Grant Marcie Dierdorf Marcus Gresham Margaret Madden Maria Hennigan Mark Popovich Martha Christine Faunce Mary Bullock Mary FLorence Mary Sullivan-Clifton Matthew Fields Matthew Flinn Meara Grannan Megan Bond Megan Williams Melinda Knoblauch Melissa Burton Melissa Carter Melissa Martinez, M.D Melissa Nicole Lane Michael Coots, HSPP Michael Ray Michael Sutton Michael Welling, MD Michaelangelo McClendon Michelle Wise Mick Thiel Mike Brunk Milan Stubblefield Misty D. Flinn Molly Craig Molly Laisure Monica Lawrence Monique Kulkarni, HSPP Morgan Gilbert Nancy K. Paschal Naomi Sterling Natalie Cook Nichelle Miles Nicole Abernathy Nicole Miller Nwamaka Theresa Onochie Ortamese Walton Paisley Benberry Pamela Connelly-Castle Patrick McNeill Patrina Hearn Paula Linville Paula Smith Penny Caswell Penny Nephew Rachel Taylor Reamone Webster Rebecca Neal Regenia Jones Reginald Butcher Richard Jones Ricky Buckley Ritchie Baudendistel Robert C. Monroe Robert Denton Robert J. Lannerd Robin Haley Rodney Crockett Roeshell Gentry Ronald Stegemiller Ronyelle "Ronni" Smith Sabra VanAuken Sabrina Hooker Sajja L. P. Babu, MD Sammie Williams, Sr. Sandy Sanders Sara Bentley Sara Daggy Sara Kleber-Lowery Sarah Lehman Sarah McMillan Sarah Scott Sarah Szerlong, PhD, HSPP Sarah Wickman Sarah York Sarfraz Kahn, MD Scott Broadnax Senica Miller Shaniece Hall Sharon Bolden Shaunna Stamm Sheena Brown Shelby Petty Shelley Robertson Shellie Griffith Shelly Paulson Shelly Stewart-Monfort Sheri Lowry Sherre Moss Sherry Smith Shin Yee Tan Simone Frappier Skye Berger Skye Smith Stacey Coghill Stacey Skomp Stacie Amerman Stephanie Cline Stephanie Gray Stephanie Olson Susan M. Taccheri Susan M. Zody Suzanne Glesing Takeisha Parrish Tangela Edwards Tanja Freestone Tanya Fetter Tausha Mockabee Taylor Painter Tennielle Glasser Terry Armstrong Terry Kennedy Terry Parrish Thomas W. Barlee Tiana Jessup Tiffany Covele Tiffany Robinson Timothy Knight, HSPP Tina Sellers Tina Wahl Tisha Larkin Tishelle Harris Tissia F. Henderson Tonetta Mattson Toni Rose Tonie Hathcock Tonya Prifogle Tosha Buckley Tracey Moore Traci Alexander Traci Williams Tracy Mock Travis Rathbun Travis Smith Vera Taylor Vicki Muncie Vincent Jackson Vinita S. Watts, HSSP Waddell Hamer, Jr. Wayne Major Wendy Wolchanski Willard Whitehead, MD William Breidenstein Willie Frazier Xanadu Daugherty Zenda Stephenson Zoey Frost Other (please specify) OK Question Title * 3. Your Email Address? OK Question Title * 4. Your Title Wraparound Facilitator Wraparound Facilitator Supervisor HAB Provider FST Provider Respite Provider OK NEXT