Individual provider Active NPI

Jennifer Kalvaitis, MA, LMHC

  • Mental Health Counselor
  • Chesterton, IN
National Provider Identifier
1548734809
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003389A Issued in IN
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
39003389AINMDMental 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.

Verify at the official NPI Registry.