Professional Counseling and Coaching LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PROFESSIONAL COUNSELING AND COACHING LLC

Practice address

1158 Lincolnway Ste 3
Valparaiso, IN 46385-5802

Phone

(219) 203-3225

NPI assigned

Oct 19, 2023

Organization subpart

No

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

Authorized official

Name

Dana Samardzich, LMHC, NCC, PCCNPI 1902404619

Title

Owner

Phone

(219) 203-3225

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana Lynn Samardzich, LHMC, NCC, PCC

  • Mental Health Counselor
  • Valparaiso, IN
  • NPI 1902404619
  NPD Authorized official

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1366224727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 LINCOLNWAY STE 3",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463855802",
            "telephone_number": "219-203-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 LINCOLNWAY STE 3",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463855802",
            "telephone_number": "219-203-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL COUNSELING AND COACHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "SAMARDZICH",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-203-3225",
        "authorized_official_credential": "LMHC, NCC, PCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.