Active NPI
Denise Ndukwu, LMHCA
- Mental Health Counselor
- La Porte, IN
National Provider Identifier
1205659307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 910 Michigan Ave
La Porte, IN 46350-3505 - Phone
- (219) 229-0109
- NPI assigned
- Nov 6, 2024
- Last updated
- Nov 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
910 Michigan Ave
La Porte, IN 46350-3505
Mailing address
804 Monroe St
La Porte, IN 46350-3511
Phone (219) 229-0109
Other practice location 1
804 Monroe St
LA Porte, IN 46350-3511
Phone (219) 229-0109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Indiana Therapies | Mental Health | Current | Accepting new patients |
Locations
804 Monroe St
La Porte, IN 46350
Phone (219) 229-0109
910 Michigan Ave
La Porte, IN 46350
Phone (219) 229-0109
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1205659307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 MONROE ST",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463503511",
"telephone_number": "219-229-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 MICHIGAN AVE",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463503505",
"telephone_number": "219-229-0109"
}
],
"practiceLocations": [
{
"address_1": "804 Monroe St",
"address_purpose": "LOCATION",
"city": "LA Porte",
"state": "IN",
"postal_code": "463503511",
"country_code": "US",
"telephone_number": "219-229-0109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NDUKWU",
"first_name": "DENISE",
"credential": "LMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-06",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Porte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.