Active NPI
Joyful Alegria LLC
- Marriage & Family Therapist
- Portage, IN
National Provider Identifier
1104514512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- JOYFUL ALEGRIA LLC
- Practice address
- 2545 Blake Rd
Portage, IN 46368-1817 - Phone
- (219) 413-1817
- NPI assigned
- Apr 25, 2023
- 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
- Yolanda Casillas, PHD
- Title
- Founder
- Phone
- (219) 487-4388
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
2545 Blake Rd
Portage, IN 46368-1817
Mailing address
2545 Blake Rd
Portage, IN 46368-1817
Phone (219) 413-1817
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
5120 Central Ave
Portage, IN 46368
Phone (219) 487-4388
Practitioners & affiliated clinicians
Practitioners 1
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": "1682380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682726400000",
"number": "1104514512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2545 BLAKE RD",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463681817",
"telephone_number": "219-413-1817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 BLAKE RD",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463681817",
"telephone_number": "219-413-1817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOYFUL ALEGRIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-25",
"last_updated": "2023-04-29",
"certification_date": "2023-04-29",
"status": "A",
"authorized_official_last_name": "CASILLAS",
"authorized_official_first_name": "YOLANDA",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "219-487-4388",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"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 Apr 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.