Organization Active NPI

Arlen W. Epp Mdiv, MSW, LCSW, Counseling and Coaching Services LLC

  • Clinical Social Worker
  • Elkhart, IN
National Provider Identifier
1023054939
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ARLEN W. EPP MDIV, MSW, LCSW, COUNSELING AND COACHING SERVICES LLC
Practice address
3040A Windsor CT
Elkhart, IN 46514-5555
Phone
(574) 262-9305
Fax
(574) 262-9516
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Arlen W Epp, MSW, LCSW
Title
Owner
Phone
(574) 262-9305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3040A Windsor CT
Elkhart, IN 46514-5555

Mailing address

PO Box 384
Cadillac, MI 49601-0384
Phone (231) 775-6076

National Provider Directory

National Provider Directory

Locations

3040 Windsor Ct
Elkhart, IN 46514
Phone (574) 262-9305

3040A Windsor Ct
Elkhart, IN 46514
Phone (574) 262-1088

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023054939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 384",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496010384",
            "telephone_number": "231-775-6076",
            "fax_number": "231-775-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040A WINDSOR CT",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465145555",
            "telephone_number": "574-262-9305",
            "fax_number": "574-262-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLEN W. EPP MDIV, MSW, LCSW, COUNSELING AND COACHING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EPP",
        "authorized_official_first_name": "ARLEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-262-9305",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.