NPIMap

Organization Active NPI

Connections Counseling Services LLC

  • Mental Health Counselor
  • South Bend, IN
National Provider Identifier
1467929554
Registry record updated Oct 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CONNECTIONS COUNSELING SERVICES LLC
Practice address
17150 McErlain St
South Bend, IN 46635-1756
Phone
(574) 250-2748
NPI assigned
Oct 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2018

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

Authorized official

Name
April Kwiatkowski, MSW, LCSWNPI 1851784789
Title
Managing Member
Phone
(574) 250-2748

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

17150 McErlain St
South Bend, IN 46635-1756

Mailing address

17150 McErlain St
South Bend, IN 46635-1756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210709000415 IN Part B Supplier - Clinic/Group Practice 0941602270 Receives reassigned benefits from 1 practitioner
Practice locations: Mishawaka, IN
O20250804001732 IN Part B Supplier - Clinic/Group Practice 0941602270 Receives reassigned benefits from 1 practitioner
Practice locations: Mishawaka, IN

National Provider Directory

National Provider Directory

Locations

1101 Lincolnway W
Mishawaka, IN 46544
Phone (574) 222-2635

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1540598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540598400000",
    "number": "1467929554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17150 MCERLAIN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17150 MCERLAIN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351756",
            "telephone_number": "574-250-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-27",
        "last_updated": "2018-10-27",
        "status": "A",
        "authorized_official_last_name": "KWIATKOWSKI",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "574-250-2748",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.