Individual provider Active NPI

Jacob Biancardi, LMHC, CSAYC, NCC

  • Counselor
  • Merrillville, IN
National Provider Identifier
1518564236
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
39003992A Issued in IN
Practice address
9111 Broadway Ste O
Merrillville, IN 46410-7002
Phone
(219) 775-2241
NPI assigned
Oct 6, 2020
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 39003992A IN Primary
Mental Health Counselor 101YM0800X NU

Addresses

Primary practice location

9111 Broadway Ste O
Merrillville, IN 46410-7002

Mailing address

1933 Ferndale Dr
Dyer, IN 46311-1892
Phone (219) 775-2241

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
I20260403002083 IN Practitioner - Mental Health Counselor 6406331784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5033 W 92ND Ave
Crown Point, IN 46307-1677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39003992AINMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Counseling Services LLC CurrentSince Sep 14, 2025 Accepting new patients
Crown Counseling, LLC Past Accepting new patients

Organizations & group practices 2

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": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1518564236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 FERNDALE DR",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111892",
            "telephone_number": "219-775-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 BROADWAY STE O",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107002",
            "telephone_number": "219-775-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCARDI",
        "first_name": "JACOB",
        "credential": "LMHC, CSAYC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-06",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "39003992A",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.