Active NPI
Whitney Service LLC
Doing business as WholeHearted Living & Wellness
- Mental Health Counselor
- South Bend, IN
National Provider Identifier
1710898093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
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.