Individual provider Active NPI

Linzy Underwood, MA

  • Mental Health Counselor
  • Wabash, IN
National Provider Identifier
1265197115
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3565 S. State Road 13
Wabash, IN 46992
Phone
(260) 563-8453
NPI assigned
Nov 5, 2021
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Friends Counseling Center Inc (16 clinicians)

Practice addresses (Care Compare)

3021 W State Rd
28 Friends Counseling Center at Tipton
Tipton, IN 46072-8674
Phone (260) 563-8453

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250520001965 IN Practitioner - Mental Health Counselor 8527586890 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Friends Counseling Center, Inc Mental Health Current
since May 1, 2025
Accepting new patients

Locations

3565 S State Road 13
#C
Wabash, IN 46992

3565 S State Road 13
Wabash, IN 46992

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

NPPES NPI Registry

Primary practice location

3565 S. State Road 13
Wabash, IN 46992

Mailing address

3565 S. State Road 13
Wabash, IN 46992
Phone (260) 563-8453

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2021.

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1265197115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 S. STATE ROAD 13",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "46992",
            "telephone_number": "260-563-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 S. STATE ROAD 13",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "46992",
            "telephone_number": "260-563-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "LINZY",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wabash, IN

Sources for this page

Verify at the official NPI Registry.