Active NPI
Jennifer Kalvaitis, MA, LMHC
- Mental Health Counselor
- Chesterton, IN
National Provider Identifier
1548734809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39003389A
- Practice address
- 442 Sand Creek Dr Ste 101
Chesterton, IN 46304-1596 - Phone
- (219) 359-3272
- NPI assigned
- Jan 18, 2019
- Last updated
- Jan 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39003389A | IN | Primary |
Addresses
Primary practice location
442 Sand Creek Dr Ste 101
Chesterton, IN 46304-1596
Mailing address
12387 Putnam St
Crown Point, IN 46307-0001
Phone (219) 226-4702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39003389A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1548734809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12387 PUTNAM ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463070001",
"telephone_number": "219-226-4702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "442 SAND CREEK DR STE 101",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463041596",
"telephone_number": "219-359-3272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALVAITIS",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "MA, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-18",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39003389A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.