Individual provider Active NPI

Laura Elena Zarandona, MS, LMHC

  • Mental Health Counselor
  • Mishawaka, IN
National Provider Identifier
1265996391
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003161A Issued in IN
Practice address
310 W McKinley Ave Ste 318
Mishawaka, IN 46545-5651
Phone
(574) 397-3456
Fax
(574) 607-3009
NPI assigned
Jan 23, 2019
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39003161A IN Primary

Addresses

Primary practice location

310 W McKinley Ave Ste 318
Mishawaka, IN 46545-5651

Mailing address

310 W McKinley Ave Ste 318
Mishawaka, IN 46545-5651
Phone (574) 397-3456

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
39003161AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Zarandona Counseling and Assessment Services LLC CurrentSince Aug 18, 2024 Accepting new patients

Locations

310 W McKinley Ave
Ste 318
Mishawaka, IN 46545
Phone (574) 366-4616

120 S Taylor St
South Bend, IN 46601

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": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1265996391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W MCKINLEY AVE STE 318",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465455651",
            "telephone_number": "574-397-3456",
            "fax_number": "574-607-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W MCKINLEY AVE STE 318",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465455651",
            "telephone_number": "574-397-3456",
            "fax_number": "574-607-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARANDONA",
        "first_name": "LAURA",
        "middle_name": "ELENA",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003161A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.