Active NPI
Joel William Kern, LCSW
- Clinical Social Worker
- Goshen, IN
National Provider Identifier
1124491980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34007795A
- Practice address
- 2318 Nature View CT
Goshen, IN 46526-1557 - Phone
- (574) 538-9602
- NPI assigned
- Nov 2, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.017822 | IL | |
| Clinical Social Worker | 1041C0700X | 34007795A | IN | Primary |
Addresses
Primary practice location
2318 Nature View CT
Goshen, IN 46526-1557
Mailing address
2318 Nature View CT
Goshen, IN 46526-1557
Phone (574) 538-9602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
302 S Main St
Goshen, IN 46526-3725
Phone (574) 213-2331
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.017822 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psych Pointe LLC | Current | Accepting new patients | |
| Joel William Counseling LLC | Clinical | Current | Accepting new patients |
| Lincoln Counseling, PC | Clinical | Past | Accepting new patients |
Locations
302 S Main St
Goshen, IN 46526
Phone (574) 213-2331
113 Lincolnway E
Mishawaka, IN 46544
Phone (574) 255-4976
1001 N Hickory Rd
Ste 3
South Bend, IN 46615
Phone (574) 232-3100
Interoperability endpoints
- https://api.platform.athenahealth.com/24035/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Goshen, IN
- NPI 1982437174
-
- Community/Behavioral Health Agency
- Mishawaka, IN
- NPI 1861087355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1124491980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2318 NATURE VIEW CT",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465261557",
"telephone_number": "574-538-9602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2318 NATURE VIEW CT",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465261557",
"telephone_number": "574-538-9602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERN",
"first_name": "JOEL",
"middle_name": "WILLIAM",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-02",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.017822",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34007795A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.