Open Mind, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

OPEN MIND, LLC

Practice address

222 S Frances St
South Bend, IN 46617-3004

Phone

(574) 210-0771

Fax

(574) 314-6486

NPI assigned

Jan 17, 2022

Last updated

Jan 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Whitlow, LCSWNPI 1972632826

Title

Owner/Employee

Phone

(574) 210-0771

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Crystal Whitlow, LCSW

  • Social Worker
  • South Bend, IN
  • NPI 1972632826
  NPD Authorized official

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1477204881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S FRANCES ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466173004",
            "telephone_number": "574-210-0771",
            "fax_number": "574-314-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S FRANCES ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466173004",
            "telephone_number": "574-210-0771",
            "fax_number": "574-314-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "WHITLOW",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER/EMPLOYEE",
        "authorized_official_telephone_number": "574-210-0771",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Allan Onkka, PH.D.
• Nonyem Onujiogu, MD
• Chiedu Charles Onunkwo, M.D.
• Op Orthodontics of Indiana PLLC (Harrington Orthodontics)
• Tara Lynn Opaczewski, COTA/L
• Ops Living SB Management LLC (Grand Emerald Place)
• Optometric Associates of South Bend
• Orange County Psychiatry and Addiction Medicine
• Devanee Joseline Orellana-Flores, RBT
• Elizabeth Orina, MS

• Clinical Social Worker in South Bend, IN
• Providers in South Bend, 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 Jan 17, 2022; 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.