Active NPI
The Front Porch
- Marriage & Family Therapist
- Mishawaka, IN
National Provider Identifier
1013374966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 85000011A
- Legal business name
- THE FRONT PORCH
- Practice address
- 515 Lincolnway W
Mishawaka, IN 46544-1808 - Phone
- (574) 210-8644
- NPI assigned
- Jan 23, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kathy Elaine Blumentritt, LMFT
- Title
- Director/Owner
- Phone
- (574) 210-8644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 85000011A | IN | Primary |
Addresses
Primary practice location
515 Lincolnway W
Mishawaka, IN 46544-1808
Mailing address
515 Lincolnway W
Mishawaka, IN 46544-1808
Phone (574) 210-8644
Other names 1
- KBlumentritt LLC
National Provider Directory
National Provider DirectoryLocations
301 W University Dr
Mishawaka, IN 46545
Phone (574) 334-1693
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Granger, IN
- NPI 1437381837
-
- Mental Health Counselor
- South Bend, IN
- NPI 1801212261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453507200000",
"number": "1013374966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 LINCOLNWAY W",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465441808",
"telephone_number": "574-210-8644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 LINCOLNWAY W",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465441808",
"telephone_number": "574-210-8644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE FRONT PORCH",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-23",
"last_updated": "2016-01-23",
"status": "A",
"authorized_official_last_name": "BLUMENTRITT",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "DIRECTOR/OWNER",
"authorized_official_telephone_number": "574-210-8644",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "85000011A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KBlumentritt LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.