Organization Active NPI

Clover Crossroads Counseling, LLC

  • Mental Health Counselor
  • Columbus, IN
National Provider Identifier
1497683304
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CLOVER CROSSROADS COUNSELING, LLC
Practice address
1513 25TH St
Columbus, IN 47201-4387
Phone
(812) 302-6897
NPI assigned
May 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Authorized official

Name
Kristin Whicker, LMHCNPI 1821926858
Title
Member
Phone
(812) 302-6897

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1513 25TH St
Columbus, IN 47201-4387

Mailing address

5534 Saint Joe Rd
Fort Wayne, IN 46835-3328

National Provider Directory

National Provider Directory

Locations

1513 25th St
Columbus, IN 47201

Practitioners & affiliated clinicians

Practitioners 1

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": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1497683304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5534 SAINT JOE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468353328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 25TH ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472014387",
            "telephone_number": "812-302-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER CROSSROADS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "WHICKER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "812-302-6897",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.