Individual provider Active NPI

Donald S. Gentner, M.S.,LCSW

  • Mental Health Counselor
  • South Bend, IN
National Provider Identifier
1366492829
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
34002568A Issued in IN
Practice address
218 W Washington St Ste 400
South Bend, IN 46601-1829
Phone
(574) 232-1405
Fax
(574) 232-0124
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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 34002568A IN Primary

Addresses

Primary practice location

218 W Washington St Ste 400
South Bend, IN 46601-1829

Mailing address

218 W Washington St Ste 400
South Bend, IN 46601-1829
Phone (574) 232-1405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000563 IN Practitioner - Clinical Social Worker 3072505262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 S Saint Louis Blvd
South Bend, IN 46617-3044
Phone (574) 232-1405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
34002568AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Interbeing, LLC CurrentSince Jan 1, 2009 Accepting new patients
Anthony L Berardi, PHD PC Past Accepting new patients

Locations

218 W Washington St
Ste 400
South Bend, IN 46601
Phone (574) 232-1405

300 S Saint Louis Blvd
Ste 202
South Bend, IN 46617
Phone (574) 232-1405

300 S Saint Louis Blvd
Ste 20
South Bend, IN 46617
Phone (574) 232-1405

211 W Washington St
Ste 1910
South Bend, IN 46601
Phone (574) 232-1405

300 S Saint Louis Blvd
Ste 200
South Bend, IN 46617
Phone (574) 232-1405

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20750/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1366492829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W WASHINGTON ST STE 400",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011829",
            "telephone_number": "574-232-1405",
            "fax_number": "574-232-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W WASHINGTON ST STE 400",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011829",
            "telephone_number": "574-232-1405",
            "fax_number": "574-232-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTNER",
        "first_name": "DONALD",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "M.S.,LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34002568A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.