Organization Active NPI

Neil Gilbert Counseling & Healing LLC

  • Community/Behavioral Health Agency
  • South Bend, IN
National Provider Identifier
1184861858
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
34002531A Issued in IN
Legal business name
NEIL GILBERT COUNSELING & HEALING LLC
Practice address
914 Lincolnway W
South Bend, IN 46616-1152
Phone
(574) 287-0391
NPI assigned
Jan 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Neil Gilbert, LCSWNPI 1417052796
Title
Owner
Phone
(574) 287-0391

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 34002531A IN Primary

Addresses

Primary practice location

914 Lincolnway W
South Bend, IN 46616-1152

Mailing address

914 Lincolnway W
South Bend, IN 46616-1152
Phone (574) 287-0391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090319000040 IN Part B Supplier - Clinic/Group Practice 7719044742 Receives reassigned benefits from 1 practitioner
Practice locations: South Bend, IN

National Provider Directory

National Provider Directory

Locations

914 Lincolnway W
South Bend, IN 46616
Phone (574) 287-0391

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": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1184861858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 LINCOLNWAY W",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466161152",
            "telephone_number": "574-287-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 LINCOLNWAY W",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466161152",
            "telephone_number": "574-287-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL GILBERT COUNSELING & HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-287-0391",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "34002531A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.

Verify at the official NPI Registry.