Organization Active NPI

Exhale Counseling LLC

  • Community/Behavioral Health Agency
  • Elkhart, IN
National Provider Identifier
1689387839
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EXHALE COUNSELING LLC
Practice address
2801 E Bristol St
Elkhart, IN 46514-4386
Phone
(574) 202-7049
NPI assigned
Jan 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Patrick KennedyNPI 1679247746
Title
President
Phone
(574) 564-5350

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2801 E Bristol St
Elkhart, IN 46514-4386

Mailing address

54273 Blair CT
Elkhart, IN 46514-4945
Phone (574) 606-9909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240312000853 IN Part B Supplier - Clinic/Group Practice 0749626836 Receives reassigned benefits from 1 practitioner
Practice locations: Elkhart, IN

National Provider Directory

National Provider Directory

Locations

2801 E Bristol St
Elkhart, IN 46514
Phone (574) 262-3277

2801 E Bristol St
Ste B
Elkhart, IN 46514
Phone (574) 206-9813

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": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1689387839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54273 BLAIR CT",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465144945",
            "telephone_number": "574-606-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 E BRISTOL ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465144386",
            "telephone_number": "574-202-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXHALE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-564-5350"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.