Individual provider Active NPI

Mary Beth Westergren, LCPC,LMHC,LPC,LPCC

  • Mental Health Counselor
  • Muncie, IN
National Provider Identifier
1295619716
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003983A Issued in IN
Practice address
4201 W Friar Dr
Muncie, IN 47304-2483
Phone
(765) 283-5382
NPI assigned
Aug 5, 2025
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.011330 IL
Mental Health Counselor 101YM0800X 39003983A IN Primary
Mental Health Counselor 101YM0800X 6401225425 MI
Mental Health Counselor 101YM0800X E.2404747 OH

Addresses

Primary practice location

4201 W Friar Dr
Muncie, IN 47304-2483

Mailing address

4201 W Friar Dr
Muncie, IN 47304-2483
Phone (765) 283-5382

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

State licenses

LicenseStateTypeSpecialty
180.011330ILMDMental Health Counselor
39003983AINMDMental Health Counselor
6401225425MIMDMental Health Counselor
E.2404747OHMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1295619716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W FRIAR DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042483",
            "telephone_number": "765-283-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W FRIAR DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042483",
            "telephone_number": "765-283-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERGREN",
        "first_name": "MARY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "LCPC,LMHC,LPC,LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.011330",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003983A",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401225425",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2404747",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.