BEHAVIORAL HEALTH AND HUMAN SERVICES LICENSING BOARD
AGENDA
Will meet on
Monday, September 21, 2015
At 9:00 a.m.
Indiana Government Center South
402 West Washington Street
Room W064
Indianapolis, Indiana
I. CALL TO ORDER AND ESTABLISHMENT OF QUORUM 9:00 a.m.
II. ADOPTION OF AGENDA
III. APPROVAL OF MINUTES FROM THE JULY 20, 2015 MEETING
OF THE BOARD
IV. PERSONAL APPEARANCES 9:15 a.m.
A. Probation
1. Thomas Dworniczek, L.C.S.W., L.M.F.T.,
License No. 34001178A and 35000659A
Cause No. 2012 BHSB 003
2. Tadd Whallon, L.C.A.C.
License No. 87000325A
Cause No. 2012 BHSB 011
B. Renewal
C. Reinstatement
1. Ronald J. Golston, L.S.W., L.M.F.T.
License No. 33001144A and 35000561A
D. Application
1. Kendal Barton (LSW)
2. Jennifer Bell (LMHC)
3. Jennifer L. Cullins (LMHCA)
4. Katherine L. Eich (LMHC)
5. Sarah McCarthy (LMHC)
6. Julie Neudecker Wright (LSW)
7. Charles Simmons (LCSW)
E. Examination Attempts
1. Valerie Boromisa (LCSW)
2. Bridgette Spann (LCSW)
3. Richard Stuffle (LCSW)
4. Carolyn Suniga (LCSW)
5. Phyllis Tobias (LCSW)
6. Stephanie N. Williams (LCSW)
F. Other
1. Lidija Hurni, L.M.F.T.A.
V. ADMINISTRATIVE HEARINGS 11:00 a.m.
A. Desiree Michelle (Dozier) Lawrence , L.S.W., License No. 33004811A
Cause No. 2005 BHSB 0004
Re: Petition to Withdraw Probation
B. Lindsey Anne (Dings) Matters , L.S.W., License No. 33005569A
Cause No. 2013 BHSB 012
Re: Petition to Withdraw Probation
C. Rick Long, L.C.S.W., License No. 34000540A
Cause No. 2012 BHSB 006
Re: Petition for Reinstatement of License
D. Mark Piechowiak , L.S.W., License No. 33007220A
Cause No. 2015 BHSB 001
Re: Order to Show Cause
E. Aaron Stolfeth (LSW)
Cause No. 2015 BHSB 007
Re: Petition to Review of the Board’s Denial
F. Jacqueline Leppert , L.M.H.C., L.C.A.C., License No. 39000478A, 87000298A
Cause No. 2015 BHSB 006
Re: Complaint
VI. SETTLEMENT AGREEMENTS
VII. NOTICE OF PROPOSED DEFAULT
VIII. DISCUSSION
A. Rule Re-Adoption
LSA Document #15-243
OVERVIEW: Rules to be readopted without changes are as follows:
839 IAC 1-5-1.5 Experience requirements for mental health counselors
B. David Michael Moore (LCSW)
Re: Application for Licensure
C. Definition of Counselor – Ind. Code 25-23.6-1-3.8
D. Priscilla Vorice, L.S.W., License No. 33002401A, Cause No. 2005 BHSB 0011
Re: Request for Rehearing of a Final Order
E. Continuing Education Audit for April 1, 2012 – April 1, 2014
IX. APPLICATION REVIEW
X. PROBATION REVIEW
XI. FORMAL ADOPTION OF APPLICATION REVIEWS
XII. CONTINUING EDUCATION SPONSOR APPLICATION REVIEW
A. Gret Machlan LLC
XIII. OLD/NEW BUSINESS
XIV. ADMINISTRATORS’ REPORT
XV. ADJOURNMENT
Next Scheduled Meeting:
Monday, November 16, 2015
Indiana Government Center South
402 West Washington Street
Room W064
Indianapolis, Indiana
2