Individual provider Active NPI

Sierra Lynn Lenczycki, MSW, LSW

  • Mental Health Counselor
  • Goshen, IN
National Provider Identifier
1003499450
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
22479 Glenford Dr
Goshen, IN 46528-8449
Phone
(574) 370-3708
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

22479 Glenford Dr
Goshen, IN 46528-8449

Mailing address

22479 Glenford Dr
Goshen, IN 46528-8449
Phone (574) 370-3708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bowen Health Inc CurrentSince Nov 30, 2022 Accepting new patients
Bowen Health Inc CurrentSince Nov 30, 2022 Accepting new patients

Locations

836 N Detroit St
Lagrange, IN 46761
Phone (260) 499-3019

850 N Harrison St
Warsaw, IN 46580
Phone (219) 267-7169

2621 E Jefferson St
Warsaw, IN 46580
Phone (574) 269-0573

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1003499450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22479 GLENFORD DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465288449",
            "telephone_number": "574-370-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22479 GLENFORD DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465288449",
            "telephone_number": "574-370-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENCZYCKI",
        "first_name": "SIERRA",
        "middle_name": "LYNN",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.