Jose Enrique Negrete, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

150.108975 Issued in IL

Practice address

10396 Redwood Dr
Saint John, IN 46373-8783

Phone

(219) 730-9906

NPI assigned

Oct 14, 2022

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1609592377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10396 REDWOOD DR",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463738783",
            "telephone_number": "219-730-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10396 REDWOOD DR",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463738783",
            "telephone_number": "219-730-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRETE",
        "first_name": "JOSE",
        "middle_name": "ENRIQUE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-14",
        "last_updated": "2026-09-29",
        "certification_date": "2022-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "150.108975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Saint John, IN
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• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.