Organization Active NPI

Solidago Therapy

  • Clinical Social Worker
  • Elkhart, IN
National Provider Identifier
1548051485
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOLIDAGO THERAPY
Practice address
4000 E Bristol St Ste 3-313
Elkhart, IN 46514-6949
Phone
(260) 502-6227
NPI assigned
May 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Jonna BullerNPI 1093176463
Title
Therapist
Phone
(574) 238-7906

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4000 E Bristol St Ste 3-313
Elkhart, IN 46514-6949

Mailing address

4000 E Bristol St Ste 3-313
Elkhart, IN 46514-6949
Phone (260) 502-6227

National Provider Directory

National Provider Directory

Locations

4000 E Bristol St
Ste 3313
Elkhart, IN 46514
Phone (260) 502-6227

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": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1548051485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 E BRISTOL ST STE 3-313",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465146949",
            "telephone_number": "260-502-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 E BRISTOL ST STE 3-313",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465146949",
            "telephone_number": "260-502-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLIDAGO THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "BULLER",
        "authorized_official_first_name": "JONNA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "574-238-7906"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.