Individual provider Active NPI

Jacqueline McNeal, MSED

  • Counselor
  • Plymouth, IN
National Provider Identifier
1417314287
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
990 Illinois St
Plymouth, IN 46563-3622
Phone
(574) 936-9646
Fax
(574) 935-4773
NPI assigned
Jan 25, 2016
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

990 Illinois St
Plymouth, IN 46563-3622

Mailing address

2621 E Jefferson St
Warsaw, IN 46580-3880
Phone (574) 267-7169

Other practice location 1

422 W McKinley Ave Ste B
Mishawaka, IN 46545-5522
Phone (574) 666-2573

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
I20241014003935 IN Practitioner - Mental Health Counselor 7618410952 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthlinc, Inc. Current Accepting new patients
Healthlinc, Inc CurrentSince Jul 26, 2024 Accepting new patients
Healthlinc, Inc CurrentSince Jul 26, 2024 Accepting new patients
Healthlinc, Inc. Past Accepting new patients

Locations

1313 W Chicago Ave
East Chicago, IN 46312
Phone (219) 397-1196

2106 Broadway St
East Chicago, IN 46312
Phone (219) 354-8910

2323 Broadway St
East Chicago, IN 46312

104 E Culver Rd
Ste 106
Knox, IN 46534
Phone (574) 772-7400

400 Teegarden St
Laporte, IN 46350
Phone (219) 326-0043

200 Alfred St
Michigan City, IN 46360
Phone (219) 224-2626

420 W 4th St
Mishawaka, IN 46544
Phone (574) 252-0300

1708 High St
South Bend, IN 46613
Phone (574) 237-6640

1960 Northside Blvd
South Bend, IN 46615
Phone (574) 231-7228

621 Memorial Dr
South Bend, IN 46601
Phone (574) 236-1888

621 Memorial Dr
Ste 402
South Bend, IN 46601
Phone (574) 232-4800

1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173

2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100

701 Wall St
Valparaiso, IN 46383
Phone (219) 299-8419

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1417314287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 E JEFFERSON ST",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803880",
            "telephone_number": "574-267-7169",
            "fax_number": "574-269-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 ILLINOIS ST",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465633622",
            "telephone_number": "574-936-9646",
            "fax_number": "574-935-4773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "422 W McKinley Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465455522",
            "country_code": "US",
            "telephone_number": "574-666-2573",
            "fax_number": "574-966-1437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEAL",
        "first_name": "JACQUELINE",
        "credential": "MSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, IN

Sources for this page

Verify at the official NPI Registry.