Four County – Traditional Internship Positions

Main Center, Logansport, IN

Four County - Kokomo, IN

IU Health Primary Care Office -Tipton, IN

IU Health Arnett Physicians Family Medicine - Frankfurt, IN

Pulaski Memorial Hospital Addition - Winimac, IN

Match # 228811 (Traditional)

Traditional Internship positions available: 3

About Our Site

Four County Counseling Center has three internship positions for the traditional internship experience. Interns in these three positions will be placed at different office locations in the Four County network. Interns will be exposed to most clinical service lines offered by the agency so that interns can gain an in-depth understanding of the breadth of service operations of a rural mental health agency. Professional training and acculturation will involve more than exposure to clinical operations. Interns will also have exposure and learning experiences in most areas of mental health operations including business office, support, executive, and leadership functions. This is designed to help interns understand and appreciate the multi-faceted roles that psychologists often serve after graduation and to help prepare them for functions outside of their traditional clinical training.

 The training program at this site is designed to prepare interns to serve a broad spectrum of individuals in terms of age, cultural, diagnostic, and level of functioning inherent in a rural setting. Professional acculturation will include exposure to legal, multicultural, and ethical issues that arise in an applied setting. Leadership, management, and executive functions are also addressed. Interns will learn to become key players within a multidisciplinary, community setting. Training and didactics are utilized with the belief that diversity is best viewed as a long-term goal that has a continual evolution. At this level of training, integration, proficiency, and efficiency are emphasized in the development of a stronger sense of professional identity, leadership, and autonomy. All associates go through a one-week orientation process in which they become familiar with the agency, staff, services, and operations. Interns will spend the majority of their time in the outpatient setting. Interns will conduct individual, family, and couples therapy for all ages of individuals. Intake assessment, treatment planning, and care management are also functions in this setting. Some interns will spend half of their time on the acute care rotation. During this rotation, they will conduct individual, group, and family sessions on the agency’s inpatient unit. The intern will also complete psychological assessments and evaluations to help clarify diagnoses and guide treatment. It is expected that the intern will gain knowledge and experience in working with the severely mentally ill in an acute setting. Other “mini-rotations” will be completed based on the intern’s needs and interests so that they may be exposed to the variety of service lines that are available in the community mental health setting. The intern may also experience executive, leadership, and management functions.

 It should be noted that monthly didactic training is located at the Four County main office location in Logansport, IN. Depending on office assignment, interns may be required to travel approximately 30 minutes for monthly didactic training if not assigned to the Logansport office.

Four County Counseling Center is a member of the National Health Service Corps (NHSC) loan repayment program.

Example Schedule

Interns in each of these office locations will participate in a rotation in an outpatient setting, providing individual, couples, and family therapy, completing intake assessments, treatment planning, and case management. Interns may participate in a part-time (2 or 2.5 days per week), full-year rotation on the Acute Care (inpatient) Unit.   While on the ACU, the intern would be expected to complete psychological evaluations, provide individual and group therapy, family education, participate in multidisciplinary rounds, and may provide supervision to community mental health workers or practicum students who work on the ACU. Interns in the past have participated in minor rotations in school settings, correctional setting, a homeless shelter, substance use treatment, telepsychology, and in an integrated care setting. Interns are expected to participate in providing training (both within the agency and outside the agency) and outreach activities. Interns may also work with an executive-level associate on a systems-based project. This project will likely incorporate local clinical scientist skills to aid in identifying and addressing systemic issues that may enhance care and service delivery.

In general, interns will work a Monday – Friday schedule from 9:00 am – 5:00 pm each day. Some weekend work and/or evening hours and travel from the home office may be required.

Placement Locations

Potential office locations are listed below.

  • Four County Main Center – Logansport, IN
  • Four County Office – Kokomo, IN
  • Four County Office – Winamac, IN
  • Four County Office – Tipton, IN
  • Four County Office – Peru, IN
  • Four County Office – Rochester, IN
Title Address Description Link

APPIC Training Experiences

Treatment Modalities

Example treatment modalities (as listed by APPIC)

(1% to 20%)
(21% to 30%)
(31% to 49%)
Major Area
Assessment X
Individual Intervention X
Couples Intervention X
Family Intervention X
Group Intervention X
Crisis Intervention X
Brief Intervention X
Long-Term Intervention X
Supervision of Practicum Students X
Evidence-Based Practice X


Supervised Experiences

Example supervised experiences (as listed by APPIC):

(1% to 20%)
(21% to 30%)
(31% to 49%)
Major Area
Eating Disorders X
Sexual Disorders X
Physical Disabilities X
Learning Disabilities X
Developmental Disabilities X
Assessment X
Serious Mental Illness X
Anxiety Disorders X
Trauma/PTSD X
Sexual Abuse X
Substance Use Disorders X
Geropsychology X
Pediatrics X
School X
Counseling X
Multicultural Therapy X
Religion/Spirituality X
Empirically-Supported Treatments X
Public Policy/Advocacy X
Program Development/Evaluation X
Supervision X
Administration X

Patient Populations

Four County Counseling Center is located in North Central Indiana. The population is predominantly rural, 85% white, 10% black, and 7% Hispanic. 8% of individuals have not attended high school, 18% attended but did not complete high school, 32% have completed some college, 10% have completed an Associates Degree, 20% have completed a Bachelors Degree, and 12% have a graduate degree. North Central Indiana’s average income is $58,417 and the median household income is $49,023. Clients in our area can struggle to obtain treatment due to difficulties related to transportation, insurance, financial difficulties, and stigma.

Example patient populations (as listed by APPIC):

Population % Served
Rural 100%
Number of Counties Served 6

Our Supervisors

James Noll, Ph. D.

James Noll, Ph.D., HSPP, is the Regional Training Director of NPTC’s Great Lakes Region and the Director of Client Experience and Training at Four County Counseling Center. Dr. Noll received his undergraduate degree in psychology from Purdue University in 1987 and his masters and doctoral degrees in psychology from Northern Illinois University in 1993 and 1999 respectively. Dr. Noll completed his internship at the Lexington KY Veterans Affairs Medical Center with rotations in geropsychology, neuropsychology, and acute care. He has been at Four County Counseling Center since 1997 and has been practicing in community mental health since 1995.Dr. Noll conducts individual, family, and couples therapy, completes psychological evaluations, and is involved in overall treatment planning. He has interests in anxiety disorders, mood disorders, personality disorders, and treating elderly individuals. He has received advanced training in treating military personnel and their families. He also is a lecturer for the counseling psychology department at Purdue University and teaches coursework on clinical supervision.


Carrie Cadwell, Psy. D.

Dr. Cadwell earned her doctorate degree in clinical psychology from the Adler School of Professional Psychology with a certificate in Cognitive Behavioral Therapy and specialty track in neuropsychological assessment. Prior to this, she earned her masters degree in clinical psychology from Pepperdine University. She has worked as a clinician in both outpatient and residential settings and has an outpatient clinic managerial background. She has taught classes for undergraduate psychology degree programs. Part of her current practice involves serving as the behavioral health consultant for Plymouth Family & Internal Medicine and supervising psychologist for the Logan Center. She is owner and clinician at Cadwell Psychological Services, LLC. She also serves as the Chief Executive Officer for Four County Counseling Center. Dr. Cadwell has a special interest in the area of evidence-based practice, working with individuals with co-morbid mental health and intellectual or developmental disabilities, and integrated healthcare.

Life in Kokomo, IN, and Lafayette, IN

Kokomo is a city in, and the county seat of, Howard County, Indiana. Kokomo is Indiana’s 13th-largest city. The city’s population is approximately 57,000 people. A significant number of technical and engineering innovations were developed in Kokomo, particularly in automobile production, and, as a result, Kokomo became known as the “City of Firsts.” A substantial portion of Kokomo’s employment still depends on the automobile industry. Housing is very affordable in Kokomo, with the options for interns being to rent an apartment, rent a house, or even purchase a home for the year.

Lafayette, IN is a college town, the home of Purdue University, with a city population of 71,782, not including Purdue students. It is located 63 miles northwest of Indianapolis and 105 miles southeast of Chicago. The university and its associated businesses employ the largest portion of the Lafayette workforce. However, private industry and commerce independent of the university also exist in the community, including Alcoa, Subaru, Caterpillar, and Wabash National. Lafayette’s dining scene is eclectic and delicious. Many festivals, cultural events, and art functions are promoted by the city and Purdue. Housing is very affordable and often revolves around a student schedule.