Organization Active NPI

Mystic Soul Counseling and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lowell, IN
National Provider Identifier
1356277388
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MYSTIC SOUL COUNSELING AND WELLNESS
Practice address
6102 W 177TH Ave
Lowell, IN 46356-1900
Phone
(219) 689-2062
Fax
(219) 689-2062
NPI assigned
Jun 18, 2026
Last updated
Jun 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Katherine Lynn Eich, LMHC
Title
Licensed Mental Health Counselor
Phone
(219) 689-2062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

6102 W 177TH Ave
Lowell, IN 46356-1900

Mailing address

6102 W 177TH Ave
Lowell, IN 46356-1900
Phone (219) 689-2062

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1356277388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 W 177TH AVE",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463561900",
            "telephone_number": "219-689-2062",
            "fax_number": "219-689-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 W 177TH AVE",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463561900",
            "telephone_number": "219-689-2062",
            "fax_number": "219-689-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYSTIC SOUL COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "EICH",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "219-689-2062",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.