Juan-Estefan Vitela, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

706 Ridge Rd Ste B
Munster, IN 46321-1612

Phone

(219) 356-2240

Fax

(219) 356-2241

NPI assigned

May 20, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Munster Behavioral Health IncGroup PAC ID 5395113732, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Munster Behavioral Health, Inc

  • Psychiatry Physician
  • Munster, IN
  • NPI 1295330736
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1366899130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 RIDGE RD STE B",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211612",
            "telephone_number": "219-356-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 RIDGE RD STE B",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211612",
            "telephone_number": "219-356-2240",
            "fax_number": "219-356-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITELA",
        "first_name": "JUAN-ESTEFAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-20",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayola Lara Villarruel, ANP
• Barbara Jolene Vincel
• Vinci Diagnostics, PC
• Jacob Paul Virgo
• Vital Home & Healthcare, Inc.
• Vituity-California Observation Services PC
• Jordyn Vogt, PA-C
• Kinnari Vora
• Jana Voskuil
• Kathryn M Vroom, FNP-C

• Clinical Social Worker in Munster, IN
• Providers in Munster, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.