Organization Active NPI

Insights Counseling LLC

  • Adult Mental Health Clinic/Center
  • Portage, IN
National Provider Identifier
1043518079
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
28060371A Issued in IN
Legal business name
INSIGHTS COUNSELING LLC
Practice address
100 Shore Dr
Portage, IN 46368-1060
Phone
(219) 730-1515
NPI assigned
Feb 28, 2011
Last updated
Feb 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Authorized official

Name
Elizabeth Mavrelis, LCSWNPI 1467520387
Title
Sole Proprietor
Phone
(219) 730-1515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 28060371A IN Primary

Addresses

Primary practice location

100 Shore Dr
Portage, IN 46368-1060

Mailing address

1500 S Lake Park Ave
#542
Hobart, IN 46342-6638
Phone (219) 730-1515

National Provider Directory

National Provider Directory

Locations

1500 S Lake Park Ave
#542
Hobart, IN 46342
Phone (219) 309-7187

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1043518079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S LAKE PARK AVE",
            "address_2": "#542",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426638",
            "telephone_number": "219-730-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SHORE DR",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463681060",
            "telephone_number": "219-730-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHTS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "MAVRELIS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "219-730-1515",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IN",
            "license": "28060371A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.