Organization Active NPI

Whitney Service LLC

Doing business as WholeHearted Living & Wellness

  • Mental Health Counselor
  • South Bend, IN
National Provider Identifier
1710898093
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WHITNEY SERVICE LLC
Doing business as
WholeHearted Living & Wellness
Practice address
17520 Douglas Rd
South Bend, IN 46635
Phone
(704) 228-3756
NPI assigned
Sep 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Elizabeth Whitney, PHD, LCMHC, LCPC
Title
Owner & Psychotherapist
Phone
(704) 228-3756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

17520 Douglas Rd
South Bend, IN 46635

Mailing address

5776 Grape Rd Ste 51
Mishawaka, IN 46545-8460
Phone (704) 228-3756

Other names 1

  • WholeHearted Living & Wellness Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1710898093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5776 GRAPE RD STE 51",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465458460",
            "telephone_number": "704-228-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17520 DOUGLAS RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46635",
            "telephone_number": "704-228-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITNEY SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER & PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "704-228-3756",
        "authorized_official_credential": "PHD, LCMHC, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WholeHearted Living & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.